The advancement of healthcare technology has transformed not only patient care but also the administrative processes that support it. One significant advancement is the development of Electronic Other Health Insurance (OHI) services, which play a critical role in ensuring efficient claims processing, coordination of benefits, and the reduction of healthcare administrative costs for both providers and patients. Signature Performance’s team of healthcare experts have end-to-end knowledge of the revenue cycle and can help ensure efficient coordination of benefits from patient enrollment to final claims payment.
What is Other Health Insurance (OHI)?
Other Health Insurance (OHI) refers to any health insurance coverage a patient might have beyond their primary health plan. This can include various types of secondary insurance, such as Employer-sponsored health insurance, Government-funded plans like Medicaid, TRICARE, or Veterans Affairs (VA) benefits, dental or vision insurance, or supplemental insurance policies such as accident or disability insurance.
For healthcare providers, understanding a patient’s OHI is crucial because it allows them to bill insurance providers correctly and ensure that healthcare claims are processed in a timely and efficient manner. With administrative costs in the U.S. making up 40% of all healthcare costs, incomplete or inaccurate patient insurance information can add stress to an already complex process. In cases where a patient has more than one form of coverage, coordination of benefit services are used to determine which insurance plan pays first and how much of the remaining balance the secondary insurer, or patient should cover.
Simplified Coordination of Benefits with Customized Solutions
Detecting Other Health Insurance (OHI) information and maintaining databases can be a huge administrative undertaking for insurance companies and healthcare facilities alike. The benefits of partnering with administrative experts like Signature Performance, include having a more efficient way to safeguard funds, improve quality, reduce customer service issues, costly rework, and resolve payment recovery challenges.
When it comes to coordination of benefits, you want assurance that you are working with the most up-to-date information. Our team has designed a real-time discovery engine that includes defined and reliable connectivity to the nation’s top payer databases. Our optimized solution is able to identify the highest volume of billable OHI policies and ensures accurate and complete third-party insurance information. In fact, Signature’s eOHI solution has increased our clients average return by up to 43%.
Through our methodology, only validated data resulting in a billable policy is identified. Our system allows for increased transparency, false positive prevention, match verification, and the validation of insurance policy information for claims to be billed and paid correctly. Our discovery process optimizes the number of validated insurance policies, ultimately allowing our clients to coordinate benefits effectively and meet healthcare compliance regulations.
Partner with Signature Performance
Signature’s eOHI services allow healthcare providers, insurers, and patients to efficiently coordinate the use of multiple health plans, reducing the need for manual paperwork and minimizing the risk of errors in billing and claims processing. Our team is revolutionizing the way healthcare providers manage insurance claims and coordinate benefits by automating processes to improve efficiency, reduce costs, and enhance the overall patient experience. As technology continues to advance, these services will become an integral part of healthcare operations, driving further innovation and improved outcomes for providers, payers, and patients alike.
At Signature, we improve not only our clients’ business, but the healthcare industry at large by finding better ways to leverage technology, talented people, and industry-leading processes to lower healthcare administrative costs. Our eOHI approach is built on best practices and security standards that have proven to uncover legitimate instances of eOHI for effectively coordinating benefits. To learn more about how Signature Performance can streamline your performance, contact our team today!
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