How do I verify a patient's insurance benefits?

Benefits are verified by calling the specified phone number on the patient's insurance identification card. In some cases, you will need to call I-AHC to verify benefits. This can be determined by the term summary sheets.

In some cases the insurance carrier will ask for your tax identification number to determine if you are a participating provider. If that happens, you should provide them with Integrated-ActivHealthCare's tax identification number.

When verifying benefits, if it is not indicated on the patient's identification card, you should ask for the name of the PPO network that is used. If the network is one of I-AHC's network affiliates, follow the claims filing instructions on the term summary sheet. In most cases, that means sending the claims through I-AHC. If you are unsure, call I-AHC for instructions. The claims payors probably will not know who I-AHC is. We contract with networks, not payors. Therefore they will not know that you should be filing with I-AHC.

Be sure to ask about co-pays, deductible, coinsurance percentages, effective dates, chiropractic benefits and the other information listed on your insurance verification form. If the claim is for an accident, be sure to let the carrier know at the point of insurance verification. Your goal in the verification process is to obtain an accurate estimate of what will be allowed and paid by the carrier and what financial responsibility the patient will have to you.