In short
We verify each patient's insurance eligibility, benefits and prior authorizations before the visit, which prevents the largest single cause of claim denials.
Verify patient insurance coverage before services are rendered to reduce claim denials and improve collections. Our team checks eligibility in real-time and communicates coverage details to your front desk staff.
What's included in eligibility & benefits verification?
- Real-time insurance eligibility verification before patient visits
- Comprehensive benefits verification including copays and deductibles
- Prior authorization management and tracking
- Coverage determination and clear communication to front desk staff
- Reduction in claim denials due to eligibility and authorization issues
- Coordination of benefits (COB) verification for dual-coverage patients
- Verification of referral requirements for specialist visits
- Batch eligibility checks for scheduled patients in advance
Eligibility & Benefits Verification across the United States
We provide eligibility & benefits verification for healthcare providers in every state, including: