Eligibility & insurance verification
What you can expect
- Fewer eligibility and authorization denials, with front-end denials tracked and fed back to your team.
- Patients who understand their likely costs before they’re seen.
- A calmer front desk with fewer last-minute coverage surprises.
What’s included
Eligibility checks
Active coverage confirmed for scheduled patients through payer portals and electronic inquiries.
Benefits review
Copays, deductibles, coinsurance and visit limits noted for the services planned.
Prior authorization support
Prior authorization support, including submission and status follow-up, subject to payer rules and your practice’s authorization. Approval is always the payer’s decision.
Coordination of benefits
Primary and secondary coverage confirmed so claims go to the right payer first.
Cost estimate support
Benefit details your team can use for patient estimates, including good faith estimates for self-pay patients where they apply.
How we run it
Receive the schedule
We pull upcoming appointments from your system on an agreed lead time.
Verify
Coverage and benefits are checked for each patient and service.
Flag
Inactive coverage, missing authorizations and coverage limits are flagged for your front desk.
Document
Results are recorded in the patient’s account so the whole team can see them.
Questions about this service
Talk to us about eligibility & insurance verification
Tell us how your practice runs today. We’ll show you where we’d fit in, and what would change.