Resources to Decrease Denied Medical Claims.
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Home | Benefit Disclosure



Appeal Topics
Benefit Disclosure

Seeking a verification of benefits is an important activity in today’s healthcare reimbursement process. However, not all verifications are equal. Learn how to improve the quality of the benefits information you obtain and incorporate verification of benefits confirmation into subsequent appeals.


Topic Areas for Benefit Disclosure:

Benefit Disclosure and Appeals Regarding Misquoted Benefits
A Verification of Benefits is not a guarantee of payment. However, medical organizations need reliable benefit information for non urgent care. Learn how to seek benefit disclosure a better way. . . .more >>

Registration Data Quality and related Appeals:
Misinformation in registration trickles down to the patient finance area where it can wreak havoc on claims. By the time incorrect information is detected, an appeal will likely be necessary. Just because an error was made does not necessarily mean payment is rightfully denied. . . .more >>

Protecting Your Verification Efforts
Your state may have specific legal protections related to verification of benefits. We explain how to appeal using the verification of benefits and what some of the potentially applicable insurance protections are. . . .more >>

Demanding Benefit Clarification Disclosure
Take the verification process one step further by demanding benefit disclosure. The Right to Benefit Disclosure is important to understand and can mean the difference between good insurance information from carriers and bad. . . .more >>

How To Use the Pretreatment Disclosure Request
In light of the potential for error in the verification process and carriers’ general unwillingness to guarantee most verification, providers are left with uncertain coverage information. How can providers ensure that accurate coverage information is obtained. . . .more >>