Verification of Benefits

Verification of Benefits - Synergy Concepts

Synergy Concepts’ verification of benefits process is efficient, timely, and comprehensive. We want you to receive your VOBs as quickly as possible so that you and your patients are ready to start addiction treatment processes as soon as possible.

Our verification of insurance benefits service standardizes admission processes to improve patient flow. As your authoritative source, we will navigate through the misinformation that is often provided by carriers and guide you through the proper documentation for a thorough utilization review.

60 minutes or less

We regularly achieve a 45-60 minute turnaround time. We utilize a combination of experienced verification team members together with our advanced technology for optimal speed and accuracy.

  • Timely: 45-60 minute turnaround time on average
  • Accurate: Cross-checked and thorough verification with 99.9% accuracy
  • Informative: Warning disclaimers on questionable or unreliable payers
  • Intensive: Double verification

VOB Process is Important

The verification of benefits process is one of the most important steps in the insurance management process. Our attention to detail makes sure our process verification of benefits is done correctly, which saves time when processing billing and claims.

Synergy Concepts takes pride in our detailed processes for verifying the benefits of our mental and behavioral health providers’ patients. We have a large database of insurance policies and track the outcomes of the policies and insurance carriers. This gives our clients the reassurance to accurately inform their patients of their benefits and what to expect for reimbursement when treating individuals for mental health or substance abuse disorders.

Behavioral Health Billing Industry in Constant Change

Insurance eligibility verification is the first and most important step in the medical billing process. The verification of benefits has evolved well beyond deductibles and co-pays. It’s no longer a simple eligibility check. It requires an experienced staff who will work with you directly, and who understands payer benefit systems to eliminate the risk of inaccurate, incomplete, or out-of-date information.

As the behavioral healthcare industry continues to grow, insurance carriers are decreasing the number of claims they are paying on. This can make verifying benefits challenging. With carriers adding layers of criteria to individual benefit plans, it’s difficult to avoid administrative and financial errors without the help of a verification specialist.

Our Verification Specialists Retrieve:

  • Patient policy deductible and out-of-pocket responsibility
  • Co-insurance and co-payments
  • Benefit limits
  • Reimbursement estimates
  • Pre-authorization and clinical requirements for admissions

Faster Turn-Around Times, Less Errors

Verification and eligibility of benefits must be collected in a timely and accurate manner in order to increase your admissions and maintain a competitive edge. Synergy Concepts has years of clinical experience, allowing us to apply our expertise to create a verification of benefits process that differs from other behavioral health billing companies.

We provide each client with an insurance verification form, specifically tailored to ensure we obtain all necessary information, eliminate the occurrence of errors, and aid in a seamless admission process. After providing us with patient and insurance information, our verification specialists will confirm the benefits, via online portals and by phone to improve accuracy. Synergy Concepts will typically return your completed verification in less than 60 minutes.

Ongoing Clinical Review Management

It’s imperative that all benefit information be verified before offering advisement. However, confirming that there are no changes to a client’s benefits during their stay is just as crucial as when they first arrive at your facility.

Therefore, we offer ongoing clinical reviews of your clients’ insurance carriers while they are with you. Conducting clinical reviews guarantees the information you received initially remains accurate and up-to-date and avoids the high risk of error. We help you plan to re-verify and determine what may have changed with each patient’s benefits. This process solidifies your verification process so you can provide the highest level of service and extend the length of client stays, all while we keep the insurance provider accountable.

Let Us Increase Your VOB Efficiency

We would love to increase the efficiency of your VOBs. Contact us for details on how we can help you!