Eligibility & Benefits Verification

Let Kayal’s appointment service answer all your calls and schedule all your appointments by phone.

  • In the absence of proper eligibility and benefit verification, countless downstream problems are created — delayed payments, reworks, decreased patient satisfaction, increased errors, and nonpayment. To avoid these problems, Kayal Healt provides a remotely hosted centralized eligibility Unit for hospitals and faculty practice plans. The solution consists of Kayal Health staff, technology, management, and our expertise with the objective of delivering high-quality, cost-effective patient insurance eligibility and related services.

Kayal Health Eligibility Verification Services has the potential to:

  • Improve A/R cycles (reduce A/R days)

  • Increase cash collections by reducing write-offs and denials eligibility and benefits verification

  • Receive schedules from the hospital/providers via EDI, email, or fax

  • Provide the client with the results which include eligibility and benefits information such as member ID, group ID, coverage end and start dates, co-pay information, and much more

  • Contact the patient for information if necessary

  • Verify coverage on all primary and secondary (if applicable) payers by utilizing sites like WebMD, payer websites, automated voice responses, and phone calls to Payers

Related Services :

  • Obtain pre- authorization number

  • Receive schedules from the hospital/providers via EDI, email, or fax

  • Enter/update patient demographics

  • Inform the client if there is an issue with coverage or authorization

  • Medicaid enrollment

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