Verification of benefits is a critical step in evaluating the participation and eligibility of patients in health plans. Validation ensures costs and reimbursement are analyzed along with payer guidelines to monitor appropriate use and financial performance at the site of care. Offering the Healix® Verification and Validation Service to your various providers allows all parties to have full financial information and sustainability of their program.

Our Verification and Validation Service includes the following:

  • Patient benefit verification
  • Review of payor clinical requirements
  • Diagnostic assurance verification
  • Financial analysis
  • Monthly re-verification of benefits
  • Payor-specific billing protocols to maximize profits and reduce time to payment
  • Electronic claims files
  • Constant review of changing standards
  • Payment postings analysis
  • Collection supervisors to oversee each site
  • Persistence data