In this mini-course, which consists of five videos totaling ~29 minutes, you'll learn the ins and outs of verification of insurance benefits. You'll also enjoy a laugh or two. 

What you'll get:

• Video 1: an overview discussing:
  • WHY verifying benefits is important (rather than billing based on policy guidelines alone)
  • the pros and cons of verifying benefits yourself vs. having your patients do it.
  • I also link to comprehensive videos discussing billing guidelines for Cigna, Aetna, and United Healthcare.

• Video 2: common terminology you'll need to be familiar with to verify benefits:
  • fully-funded vs. self-funded plans
  • PPOs vs. EPOs vs. HMOs
  • preventive vs. medical benefits
  • prior/pre-authorizations

• Video 3: how to verify benefits yourself — the meat and potatoes of this course. It's eleven and a half minutes long, and discusses:
  • the information you'll need on-hand before contacting the insurance company
  • how to contact the insurance company
  • how to use the Availity payer chat to verify benefits (if the insurance company offers it)
  • how to make hold times less annoying
  • what prompts to follow to get connected with a live representative
  • how to go about effectively recording the information the insurance rep provides to you
  • how to answer common questions the representative may ask you
  • what to ask the insurance company representative
  • what information you MUST obtain from the insurance representative
  • a blank verification of benefits document for you to use when you verify, which you'll provide to your patient to communicate their benefits to them. The verification of benefits document includes a disclaimer that absolves you of financial responsibility in the even of a misquote of benefits (i.e., if the information you receive from the representative is wrong, it'll be the patient's responsibility to pay you)
  • An example communication guidelines form, which also includes a disclaimer specifying that the patient is responsible for understanding how their insurance policy works

• Video 4: how to have your patient verify benefits. I provide you with a sample form to provide your patients, that outlines, step-by-step, exactly how they should go about verifying their own benefits (please change the wording slightly)

• Video 5: Closing thoughts, tying up a few loose ends. I also discuss a bit of philosophy (yes, philosophy) and perspective that will make the verification of benefits process easier

If, after watching all five videos in their entirety, you feel that the course wasn't worth the money you spent, send me an email at [email protected], let me know how I can improve it, and I'll give you your money back in full.