DME Service Solutions

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Eligibility Verification

Our Eligibility Verification service minimizes revenue loss for healthcare providers by streamlining billing and reimbursement. With accurate claims submission and customer-focused support, we alleviate the challenges of verifying coverage and benefits. With us, your team can focus on enhancing the customer experience instead of dealing with complex insurance systems.

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Leverage our expertise in insurance eligibility verification for accurate and efficient results.

With our expertise in eligibility verification, we streamline processes, reduce errors, and ensure timely access to healthcare customers.  Let us take the guesswork out of eligibility verification so that you can focus on what matters most – providing quality healthcare to those who need it most.

Our simplified Eligibility Verification Process Steps

  • STEP 1: INITIAL VERIFICATION

    We review the healthcare client’s information and demographics and check their eligibility using an various online verification systems.

  • STEP 2: ADDITIONAL INSURANCE VERIFICATION

    We contact the insurance company by phone if needed, to obtain necessary information or clarify any discrepancies.

  • STEP 3: HEALTHCARE CUSTOMER COMMUNICATION

    We share the verification results with the healthcare client and inform them about their coverage details and out-of-pocket costs.

  • STEP 4: PERFORMANCE MONITORING AND REPORTING

    We organize all verified information and prepare it for the billing team, ensuring accurate and compliant claims submission. Our specialized team can handle all claims administrative services regarding your business operations.

Our Scalable Outsourced Eligibility Verification Services

Ensures accurate and complete claims, reducing denials or delays in payment.

Optimizes revenue collection for healthcare providers by minimizing claim denials and ensuring accurate billing.

Offer a scalable solution for handling verification requests, adapting to changing needs.

Build your outsourced team with DME healthcare verification services and improve your business performance and customer satisfaction.

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Why Choose Our Insurance Eligibility Verification Services

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Cost Efficiency

Outsource your Eligibility Verification process to us for significant cost savings. We guarantee reduced overhead costs, including salaries, benefits, training expenses, and infrastructure for in-house teams.

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Scalability

Our flexible outsourcing services cater to scaling operations, providing the needed flexibility during growth or changes in customer volume.

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24/7 Operations

With our 24/7 operating hours, we provide the flexibility to process verifications outside of regular business hours or even across different time zones.

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Expertise

With our specialization in processes like eligibility verification, we possess a deep understanding of the complexities involved. This enables us to ensure high accuracy and efficiency.

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Reduced Errors

Our stringent quality control measures reduce the risk of errors, resulting in fewer claim denials and smoother revenue cycles.

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Professional Development

Our agents undergo regular and updated training to stay compliant with new regulations and industry changes. This ensures consistent and up-to-date verification processes.

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DME Service Solutions - The Leading Service Provider in the Healthcare Industry

At DME Service Solutions, we take pride in being a human-centered BPO company that caters specifically to the healthcare industry. Our team is highly engaged and specialized to meet your unique requirements. We understand the importance of customer satisfaction and strive to provide tailored solutions that enhance your operations. Our commitment to partnering closely with you sets us apart in the industry and allows us to deliver the best possible service. At DME Service Solutions, our goal is to help you achieve your objectives and exceed your expectations.

+347%

Maintained support for Increase in call volume

-41%

Decrease in average days to collect documents

~15

Days average TAT for hiring

+166%

Increase CGM Orders YOY Q1-22 vs Q1-23

94%

Consistent service level results

-17%

Decrease in avg handling time​

Build your outsourced team to streamline your business performance and increase your customer satisfaction.

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