Analysis & Benefits
At Inner Circle, we provide a fully detailed, and accurate benefit analysis. This provides our facilities a snap shot of clients insurance coverage, and estimated payment history.
MEDICAL NECESSITY ANALYSIS
Inner Circle Billing will provide an estimate of authorization, potential based, on a brief clinical snapshot given to the facility, or provider. Using this information, we can more accurately gauge the actual return from the insurance company.
VERIFICATION OF BENEFITS
Our Verification Specialists will provide the facility with the following:
- Patient policy deductible, and out-of-pocket responsibility from the member
- Co-insurance, and administrative co-payments
- Benefit limits
- Policy maximums
- Reimbursement estimates
- Pre-authorization, and clinical requirements for admissions