Including Patient Insurance & Care Providers

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Including Insurance Providers and Physicians

Medical billing portals can be configured to also incorporate insurance information, in addition to general billing capabilities. One of the opportunities within medical billing is the ability to incorporate insurance so that charges are properly tied back to the insurance provider. The successful application of this function depends heavily on the nature of the medical billing portal.

In cases where it’s applicable, the end user will be able to correct or adjust details of their insurance plan. This is quite helpful as the proper coverage, in respect to the delivered medical care, can be represented accurately in the insurance policy. It's also possible to incorporate logic which allows the patient or end user to contact the organization through the medical billing portal. This is especially useful when there’s an issue, dispute, or similar situation that the patient is working through with the insurance company.

Seamless Communication and Data Exchang

Enabling Efficient Communication Among Parties

Furthermore, it's also possible for the medical billing portal to communicate with the insurance company and the care providers, so that their systems can be incorporated back into the portal. As an example, the caregiver system might frequently attempt to handle the requests to the insurance company. In turn, the insurance company may or may not approve all, or even some, of the payment that needs to be made by the patient to the caregiver. As a result, the bottom line is the patient is going to be billed for a portion or the entirety of the care that was provided.

The medical billing portal is capable of communicating back to the doctor's office, caregiver practice or healthcare organization. The message can specifically let them know via digital means that a particular patient is disputing a charge or wants to review something in further detail. On the other hand, the patient can also access information about that particular caregiver upon logging in the medical billing portal.

If the caregiver does not want to enable this option, the medical billing portal may inform the patient of the available means of communication with the corresponding healthcare provider. In other words, the portal can simply provide messaging that in case of a dispute or concern, the patient needs to get in touch with the doctor's office or the caregiver organization directly.

Tailor-Made Solutions for Each User

Customizing The User Experience

The portal has the potential to incorporate branding, styling, and contact information that reflect the actual caregiver organization. Additionally, we might want to incorporate privacy policy, terms and conditions, or any kind of dispute process information. Under this concept, we can streamline the medical billing portal operation and render it very customer friendly for the patients.

On some occasions, there'll be other forms that we want the patient to be able to complete through the portal. Those might include options to apply for services related to Medicare or Medicaid, for which application wasn’t available through traditional means at the doctor's office. Another instance may be a patient who is currently experiencing some sort of special circumstance they’d like to submit for consideration.

All those occurrences might be best handled collectively with forms or inputs, which allow the patient to be able to customize and cater the particular information they're sharing. User input will reflect the fact of a potential special needs circumstance, or perhaps changes in their ability to pay in a timely manner. Logged unforeseeable events will lead to potential solutions, like a hardship application or negotiation of some reasonable payment timeline.

Sequentially, special circumstances do arise and it’s beneficial to automate that process in the best possible way. The medical billing portal—which also double as patient-doctor portals—can successfully cover the need for patient communication and collaboration with any of the parties (doctor's office, caregiver organization, insurance company), aiding with dispute resolution.

How Can Clarity Help

Clarity Medical Billing Portal Experts

The ultimate goal with a medical billing portal is to improve customer service and receive payment within reason. We undoubtedly desire to enhance customer satisfaction while promoting the business operation by getting paid timely and effectively.

We certainly encourage you to reach out to our friendly and knowledgeable staff who are specialized on medical billing portals and other kinds of patient portal development. If you have any questions, we’ll be happy to provide a complimentary consultation and personalized assistance. You're also welcome to review the resources below and learn more about all the different aspects of medical billing portals.