In addition to providing a complete QA validation on the patient’s demographics and insurance information, the VestaPay Patient Benefit Qualification solution utilizes two tiers of value confirmation.
1. Insurance Carrier Benefits Verification: We perform a direct lookup through our Eligibility EDI Partner (TransUnion). If the data returned is insufficient or unavailable, VestaPay will utilize its robotics to perform an automated web lookup of the insurance carrier.
2. State Medicaid Benefits Verification: When patients are registering as self-pay, we also perform an eligibility verification of Medicaid benefits that may be available. In all cases where benefit data is identified, we will use our advanced robotics to automatically update this data to the patient’s profile. Having this data accurately identified then facilitates VestaPay’s generation of accurate estimates, which in turn facilitates securing 100% of the patient’s liability at time of service.
