Insurance Eligibility Verification
Verify coverage, deductible, prior authorization requirements, and rental vs. purchase benefits.
Valiant Lifecare delivers complete DME billing, documentation management, compliance verification, and rental-cycle support for suppliers of all sizes.
Verify coverage, deductible, prior authorization requirements, and rental vs. purchase benefits.
Ensure clinical documents meet payer requirements for medical necessity and compliance.
Assign HCPCS, ICD-10, and payer-specific modifiers to ensure clean claims and optimal reimbursement.
Submit EDI and paper claims, track statuses, and resolve payer edits proactively.
Post payments, adjustments, and reconcile remittance data with inventory and billing systems.
Correct and resubmit denied claims, manage appeals, and eliminate recurring error patterns.
Track rental months, capped rentals, maintenance fees, and billing eligibility windows.
Payer-compliant auditing to reduce risk of recoupments or documentation-related denials.
Performance dashboards, AR aging, denial analysis, rental tracking, and financial insights.
Collect demographics, insurance details, and benefit confirmation.
Validate prescriptions, CMNs, LMNs, face-to-face notes, and medical necessity proof.
Assign accurate HCPCS codes, modifiers (RR, NU, UE), and frequency guidelines.
Submit claims through EDI/paper and monitor for payer edits or errors.
Reconcile ERAs, patient payments, rental cycles, and adjustments.
Investigate denial reasons, supply missing documentation, and refile corrected claims.
Track KPIs including denial rate, rental revenue, margins, and AR ageing.