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 Business Solutions provides a remotely hosted centralized eligibility Unit for hospitals and faculty practice plans. The solution consists of  Kayal Business Solutions staff, technology, management, and our expertise with the objective of delivering high-quality, cost-effective patient insurance eligibility and related services.

Kayal Business Solutions 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

• • 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

• • Contact the patient for information if necessary

• • 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

Related Services :

• • Obtain pre- authorization number

• • Obtain a referral from PCP

• • Enter/update patient demographics

• • Remind the patient of POS collection requirements

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

• • Medicaid enrollment