Insurance Benefits Verification

The insurance verification and authorization / referral process is critical to every practice’s bottom line. Failing to obtain the correct benefits or authorizations could cause delayed payments, claim resubmission, appeals, non-payment of services and more. Sunshine Billing can tell you if a particular procedure is covered for a particular patient, obtain prior authorization, and advise of patient pre-collection amounts all before the service is rendered. We can help assure timely and maximum reimbursement.

Our complete verification services is available to all specialties nationwide. There is no practice too small or too large. Our team at Sunshine Billing will assist in preventing revenue loss and obtaining the reimbursement you deserve.

• We will advise you of the following for each patient that you see:
• Type of plan and coverage details
• Medical, hospital, pharmacy benefits
• Out of pocket and policy maximums
• Effective date and termination date
• Deductible and coinsurance information
• Covered place of service codes
• Whether particular procedures and diagnosis codes are covered (if available and applicable)

Contact us today and see how Sunshine Billing can work for you.