As patients take more responsibility for their medical expenses, it has become increasingly important for physician groups to verify eligibility and streamline associated workflow. Billing the wrong insurance carrier or not having correct patient co-pay and deductible information can result in denials, delayed payment, increased billing and collection costs, and patient bad debt—all of which significantly impact the bottom line.

MPV Eligibility helps medical groups address these challenges. By automating the insurance and benefits verification process, MPV Eligibility enables users to electronically gather patient co-pay, benefit and deductible information at any point in the billing process—from pre-arrival to check-in to charge entry, claims submission and payment posting. Electronic patient address verification helps ensure accurate billing information, while self-pay verification matches patients against Medicaid and Medicare databases to determine eligibility and maximize reimbursement opportunities.

When combined with MPV’s Patient Portion Pricer, which estimates patient financial responsibility based on payor contract terms, MPV Eligibility helps medical groups increase time-of-service collections, reduce administrative costs, and build net cash receipts while also improving patient satisfaction.

Benefits of MPV Eligibility include:

• Electronic verification of coverage throughout the billing process
• Increased upfront collections
• Fewer rejections and denials
• Enhanced staff productivity
• Decreased A/R days
• Improved cash flow
• Cleaner billing system data

Integration with GE Centricity^® Business
Optimized for users of GE Centricity Business, MPV Eligibility electronically gathers eligibility and benefits information quickly and efficiently, providing real-time verification directly from MPV’s extensive payor network. Once collected, the data is automatically uploaded in Centricity Business, eliminating the need for staff to manually verify insurance information. And with the system’s ability to apply business intelligence to returned data to ensure the correct financial class is used, the result is enhanced productivity and a reduction in billing errors.