Failure to check patient insurance eligibility often results in medical billing errors, insurance coverage concerns and delays. OmniMD provides an instant online check for insurance eligibility with key government and commercial insurance companies.

OmniMD online insurance eligibility checking service enables the medical office to check on patient insurance eligibility for healthcare benefits before the patient arrives at the clinic, by linking the eligibility check with the appointment scheduler. The system automatically runs the verification check for all scheduled patients. The practice is able to identify any issues and address them when the patient arrives.

Instant Verification: Providers no longer face concerns of lost revenue due to delay or errors in insurance checks and verification. Insurance eligibility can be verified within seconds through single-point access to insurers. Eligibility authorization identifies ineligible patients pre-service instead of post-billing, when it becomes a time-consuming and losing effort. The system has an automated electronic claims status process for commercial insurers, Medicare and Medicaid. OmniMD insurance eligibility is integrated with WebMD, ProxyMed and MedConnect, ensuring comprehensive and real-time verification.

Error Free Transactions: The system eliminates the need for paper transactions, coordination in getting insurance checks done or multiple telephone calls to clearing houses and insurers. Most often, incorrect provider and patient ID numbers are most often the cause of rejected claims. Online eligibility checks eliminate claim rejections by verifying members' numbers before submission of payment claims.

Data Entry Elimination: The patient’s demographic information as retrieved from the insurance check is automatically transmitted to the EMR, eliminating the need for data re-entry. An integrated system provides accurate determination of the patients co-pay amount and deductibles. It sets patients coverage expectations and reduces the risk of uncollected balances. The system eliminates the need for paper transactions and the clinic is able to avoid denied claims later.

Check Referral Authorization and Pre-Certification: The program automatically checks the status of referrals with multiple payers and it can also receive referrals from other providers. The system does real-time submission of new referrals to multiple payers, eliminating time-consuming paper processes. Batch-mode eligibility checks can be scheduled for visiting patients before office hours. You can also capture co-pay and other insurance information from eligibility check data. Electronic Data Interchange (EDI) improves payment collection with accurate information on co-pays and deductibles.