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Turning Point of Tampa has helped thousands find recovery. As an in-network facility, we are able and committed to helping you find the life you deserve.

Medical Insurance Verification Process

Verify Insurance Benefits | Turning Point of Tampa

Turning Point of Tampa is committed to providing detox, residential, day/partial and intensive outpatient treatment.  Turning Point of Tampa accepts most major insurance carriers as well as self-payment.  We do not accept Medicaid, Medicare.

As a courtesy to all our patients at Turning Point of Tampa, the insurance verification process is done at no charge.

Our goal is to make access to medical services easy. We understand the time it takes to call a health insurance company, and with your assistance, we have found the fastest way to check insurance eligibility verification.

After speaking with our admissions office, we ask you to have the primary or the patient’s insurance information and patient data ready.

The patient’s insurance coverage is based on the insurance policy and our hope is we are an in network provider, if we are not, we can let you know all options once we check patient eligibility.

3 Easy Steps To Insurance Eligibility Verification

The insurance for treatment services at Turning Point of Tampa is handle in three easy steps.

  • The insurance verification begins once a patient’s insurance card, date of birth, employer or policy holders information, name and address are entered into the form below.
  • Turning Point of Tampa receives your information and we begin to verify insurance eligibility
  • As healthcare providers that are in network with most major insurance companies, we are usually able to get insurance eligibility verification, an understanding of the patient’s coverage, and the patient’s deductible. Once we have this information, the patient information is given to the decision maker and an admission is scheduled.

For more information you can refer to the FAQ on this site or call us at 866.821.6751

Turning Point of Tampa’s Insurance Verification Process

Verifying insurance benefits typically involves a series of internal steps to determine the coverage and benefits provided by an individual’s health insurance plan. Although specific processes may vary between insurance providers, here is a general overview of what we do for insurance verification at Turning Point of Tampa:

Obtain patient’s insurance information:

Gather the patient’s data from the individual seeking insurance verification. This typically includes their full name, date of birth, insurance identification number, policyholder’s name (if different), and contact information.

Connect with the health insurance provider:

Reach out to the insurance company either by phone calls, email, or through an online portal. As an in-network provider we have direct access for insurance eligibility verification through our your health insurance companies online portals.

The needed information for insurance verification is usually available on the back of your health insurance card or the provider’s website.

Verify coverage:

Provide the patient’s data to the health insurance or private organization representative and inquire about insurance eligibility and coverage details. This verification process may include checking the benefit for the patients service type of plan (e.g., health, dental, vision), while also confirming eligibility is active and valid, and the policy’s effective dates.

Determine benefits:

Understanding how to inquire information from each unique medical system is a practice and process Turning Point of Tampa understands. Gaining authorization and to request complete details cincerning the specific benefits and services covered by the insurance plan.

This may include information on money from payers and due from patients such as:

  • Deductibles
  • Co-payments
  • Co-insurance
  • Maximum out-of-pocket limits
  • Exclusions or limitations that may apply

Additionally, verify if pre-authorization or referral requirements are necessary for certain treatments or procedures.

If pre-authorization is needed, we find out how to complete the request and work with the patient and if necessary their family to insure this business process is completed.

Confirm network participation:

We determine if the healthcare provider or facility where services will be rendered is in-network or out-of-network. Turning Point of Tampa is in-network with most providers so this process is is not as time consuming for patients.

In-network providers like Turning Point of Tampa are able to offer more favorable coverage and cost-sharing arrangements compared to out-of-network providers.

Actual contract negotiations are in place between the patient provider business department concerning benefits and Turning Point of Tampa. This means payment on all claims is predetermined by the patients benefit. All claims will reflect how to pay the bill. Turning Point of Tampa will request initial payment based on the terms of the patient benefit.

Document information:

Turning Point of Tampa always take detailed notes during the insurance verification process, including the date and time of the call, the name of the insurance representative, and a summary of the information obtained.

This documentation can be useful for reference and any potential disputes, denials, or billing inquiries in the future.

Communicate findings:

Turning Point of Tampa will share the patients insurance verification and benefits information with the individual seeking coverage. We provide a clear explanation of the insurance verification and coverage details, any associated payment the patient may be responsible for, and any limitations or requirements the patient should be aware of.

It’s important to note that the process of verifying insurance benefits can vary depending on the complexity of the insurance plan and the specific requirements of the insurance provider. It is always recommended to contact the insurance company directly for accurate and up-to-date information.

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