Electronically Verifying Benefits: How Healthcare Facilities Can Improve Patient Care

Verifying insurance benefits prior to a patient’s office visit is an administrative procedure most successful practices perform. With new advances in network technology, this task has become easier to accomplish — and with much greater accuracy.

Most importantly, electronic verification of benefits provides both healthcare practitioners and their patients access to patients’ most up-to-date insurance information, ensuring the ease and accuracy of decision-making in subsequent diagnostic testing, laboratory, and/or referral considerations. With access to current benefits, providers send patients for additional work-up of their health concerns to specialists and facilities approved by the patients’ insurance plans.

Electronic verification of benefits also decreases both the patient’s check-in time as well as front-office staff time during the check-in process. Patients no longer have to make several visits to the front desk and front-office staff do not have to manually enter patients’ demographic data (also reducing clerical errors).

The decision to implement an electronic insurance verification system will introduce a more convenient patient experience, from check-in to check-out — and after hours, when medical decisions are still made. Given the complexity of maintaining Electronic Health Records (EHR), it is useful to note that it is not necessary for an electronic insurance verification system to be integrated with a practice’s EHR — and, as a stand-alone service, the system proves more cost-effective without sacrificing functionality. Consider the Clearwave kiosk and network — able to integrate with your EHR, but may also efficiently collect and transmit data independent of it.