Automated Eligibility Verification and Task Assignment:

When a patient appointment is scheduled in pVerify, Asana automatically creates a task to verify insurance eligibility. The task is assigned to the billing team with a due date prior to the appointment. This ensures that eligibility checks are completed on time, reducing the risk of claim denials and improving revenue cycle management.

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Claim Status Updates and Follow-Up Tasks:

As pVerify updates claim statuses, Asana generates follow-up tasks for any claims that require further action or documentation. These tasks are assigned to the appropriate team members, with details on what actions are needed. This automation helps maintain an organized workflow for managing claims, ensuring timely resolutions and reducing delays.

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Denial Management Workflow Automation:

When a claim denial is identified in pVerify, Asana automatically creates tasks for denial analysis and appeals. These tasks are prioritized and assigned to the billing team, including guidelines on the appeal process. This streamlines the denial management process, improves turnaround times for appeals, and enhances overall financial performance.