One of the leading causes of claim denials in healthcare is incorrect or incomplete patient insurance information. At MTBS LLC (MTBSRCM.com), we provide comprehensive insurance eligibility and verification services for healthcare providers to ensure every claim is accurate, clean, and ready for reimbursement. By verifying patient benefits and securing pre-authorizations in advance, we help practices reduce rejections, accelerate payments, and maintain a healthier revenue cycle.
“Over 25% of medical claim denials happen because of inaccurate or incomplete patient insurance information. Verification is the first line of defense.”
Why Insurance Eligibility Verification Matters
Insurance eligibility checks confirm whether a patient’s insurance is active, covers the required procedures, and meets payer rules. Without it, claims are often denied or delayed, resulting in revenue loss. By outsourcing eligibility verification to MTBS LLC, you gain access to a dedicated team of specialists who ensure every patient visit starts with accurate insurance data.
According to CMS guidelines, payers require exact coverage details before approving claims. Our services bridge this gap by validating coverage before the patient’s appointment, eliminating unnecessary delays.
Our Insurance Eligibility & Verification Process
MTBS LLC uses a structured, multi-step approach for eligibility and verification:
- Patient Demographic Entry: Accurate recording of personal and insurance details into your system.
- Real-Time Eligibility Checks: Automated and manual verification with payers to confirm policy status.
- Benefits Validation: Confirm coverage limits, co-pays, deductibles, and prior authorization requirements.
- Pre-Authorization Management: Obtain payer approval for procedures, tests, and surgeries when required.
- Communication with Patients: Inform patients of their financial responsibility upfront to avoid billing disputes.
- Detailed Reporting: Provide eligibility summaries for each patient visit to your staff for seamless coordination.
Benefits of Outsourcing Eligibility Verification to MTBS
By partnering with MTBS LLC, practices experience:
- ✅ Lower denial rates by ensuring complete coverage checks
- ✅ Improved patient satisfaction with transparent cost information
- ✅ Faster claim approvals and reduced AR days
- ✅ HIPAA-compliant handling of all patient data
- ✅ Round-the-clock support from our insurance verification team
Discover how outsourcing improves revenue cycles on our Benefits with MTBS page.
Specialties We Support
Insurance eligibility requirements vary by specialty. MTBS LLC provides tailored verification for Cardiology, Orthopedics, Radiology, Psychiatry, Primary Care, and more. See our Specialties at MTBS for details.
Transparent Pricing
We offer affordable and flexible pricing options for insurance eligibility and verification services. Whether you run a small practice or a large hospital, our plans scale to your needs without hidden fees.
How MTBS Improves Revenue Cycle with Verification
Insurance verification is not just about checking coverage. It’s about revenue cycle optimization. Our services prevent denials, reduce rework, and give providers confidence that each claim will be processed successfully. Combined with our end-to-end medical billing services, you gain a complete RCM solution for long-term financial growth.
Get Started with MTBS LLC
Don’t let claim denials eat into your revenue. Let MTBS LLC be your partner in insurance eligibility and verification services. Our experts will ensure that every patient visit starts with verified insurance data, reducing surprises for both providers and patients.
Contact Us Today for a Free Consultation
Frequently Asked Questions (FAQs)
1. What is insurance eligibility verification?
It is the process of checking a patient’s insurance coverage and benefits before services are rendered, ensuring accurate billing and fewer denials.
2. How does MTBS perform eligibility checks?
We use both automated tools and direct communication with payers to confirm insurance coverage, benefits, co-pays, and pre-authorization requirements.
3. How does eligibility verification reduce claim denials?
By validating insurance before patient visits, we prevent common errors like inactive policies, coverage exclusions, or missing authorizations.
4. Which specialties benefit from verification?
Every specialty benefits, but high-cost services like cardiology, orthopedics, and radiology depend heavily on accurate eligibility checks. Learn more.
5. How can I get started?
Simply contact us and schedule a free consultation with our verification team.
