Verifying active coverage for patients prior to rendering services is more important than ever before. SPSI has a robust tool to verify insurance coverage for patients in regular intervals and/or according to upcoming appointments. Our system utilizes a process we refer to as cascading to follow the trail of likely coverage in instances where the patient does not have coverage with the original designated payer. For instance, if we do not find active coverage with the primary insurer, but the patient is over 65, we will automatically check Medicare for coverage.
SPSI also offers the ability to do individual eligibility checks in real time in the event of walk-in patients or last-minute scheduling. One of the first, and most vital steps, in maintaining an efficient revenue cycle is verifying insurance coverage prior to providing services. SPSI has you covered.