Eligibility & Benefits Verification
Coverage and patient responsibility confirmed before every visit.
Overview
We verify coverage, deductibles, copays and plan limits before the patient arrives, and record the results in your system. Your front desk knows what to collect, and claims are not denied for eligibility.
What is included
- Active coverage confirmation
- Copay, coinsurance and deductible details
- Visit limits and plan exclusions
- Referral and authorization requirements
- Coordination of benefits
- Results recorded in your PM system
What your practice gains
Fewer eligibility denials
Coverage problems are found before the visit.
Better point-of-service collections
Staff know the patient balance in advance.
Fewer surprises for patients
Patients hear about costs before treatment.
How we get you started
- Free consultationWe review your current workflow and results.
- Custom setupWe set up around your EHR, specialty and preferences.
- Go liveYour account manager guides the launch, usually within days.
- Monthly reviewYou get a report and a call on results every month.
Specialties we support
Common questions
When are patients verified?
Normally 48 to 72 hours before the appointment, plus same-day adds.
Do you handle Medicare and Medicaid?
Yes, along with commercial, Medicare Advantage and managed Medicaid plans.
Is there a long-term contract?
No. Services start month-to-month, so you can see results before making a longer commitment.
Ready to talk about eligibility & benefits verification?
Free consultation. Most practices go live within days.