OACIS Healthcare Solutions

Know Coverage Before Care Begins

VOB Services

Fast, Accurate Verification of Benefits (VOB) & Prior Authorization Services

Eliminate delays, reduce denials, and start patient care with confidence.

Why it Matters

Prevents costly delays & rejections–Verification of Benefits is a crucial first step in the medical care process, directly impacting a healthcare facility’s revenue generation. Prior Authorization ensures the medical necessity of treatments or services, making it crucial for a seamless billing process.

  • Reduce Claim Denials: Accurate info leads to fewer rejections and appeals.
  • Improve Patient Experience: Transparency on coverage builds trust and avoids billing surprises.
  • Maximize Reimbursement and Increase Revenue: Qualified patients create a simplified billing process.
  • Accelerate Care Delivery: Patients are cleared for treatment faster—no bottlenecks.

Efficient Systems

Streamline Your Operations

From scheduling to verification of benefits and prior authorization, outsource to OACIS Health to ensure worry-free qualified appointments!
Our end-to-end eligibility verification and authorization solutions streamline this process with a proven approach, handling all details efficiently so healthcare providers can focus on delivering quality care. Our team of professionals follow the steps below to create a seamless flow for your practice!

Patient Information Collection

Our professionals collect complete patient and insurance details to start the process right.

Insurance Eligibility Verification

We verify if the patient’s insurance is active and ready to cover the needed service.

Benefits and Coverage Verification

We review the plan to see what’s covered and what the patient might need to pay.

Medical Necessity Documentation

Clinical notes and reports are gathered to explain why the treatment is needed.

Prior Authorization Submission

We send a request to the insurance company, asking for approval based on the documents.

Follow-Up with Payer

Our team follows up regularly to keep things moving and avoid any hold-ups.

Authorization Confirmation and Recording

Once we get approval, all details are recorded to ensure smooth billing later.

Communication with Providers and Patients

We inform both the provider and patient about the outcome to keep everyone on the same page.

Testimonials

Results That Speak for Themselves

Better Verification. Better Outcomes.

Our denial rate was almost 20% before transitioning. This team implemented clear billing workflows and payer-specific strategies, reducing denials to under 5% and improved our first-pass claim acceptance rate to over 98%. Collections rose by 22% in the first quarter, and our bad debt was reduced to near zero. Their performance exceeded all expectations.

Allergy & Asthma Practice

This team brought clarity and control to our pediatric billing processes. They introduced a structured guideline system that brought down claim rejections from 12% to under 3%, while denial rates dropped by 40% within 60 days. Clean claim submission is consistently above 97%, and our AR over 90 days was cut in half. Their attention to detail is phenomenal.

Pediatrics Practice

Our internal medicine practice saw a measurable improvement in billing KPIs after switching. Aging over 90 days dropped from 28% to under 10%, and our net collection rate increased to 98%. Denials decreased by 35%, and we now receive most payments within 25 days of submission. Their performance-driven model helped stabilize and grow our revenue.

Internal Medicine Practice

Working with non-par insurance plans has always been a pain point due to low reimbursements and complex negotiation processes. This billing team brought in a dedicated strategy for timely filing and payer negotiation support, which resulted in over 30% improvement in our payment for non-par claims. Our previously written-off claims were recovered with professional handling. Their experience with out-of-network billing made a significant financial difference.

Out-of-Network Billing Solutions

Let’s Get You Verified - Faster

Reduce your admin burden and eliminate verification errors. Let our experts handle it.

Request a Free Assessment