Coverage confirmed before the patient walks in
We verify active coverage, benefits, copays, deductibles, referrals and authorization requirements before each visit.
What’s included
- Real-time eligibility (270/271) and payer portal checks
- Plan type, network status and coordination of benefits
- Copay, coinsurance and remaining deductible
- Referral and prior authorization requirements
- Medicaid and Medicare Advantage plan identification
- Results added to the appointment before the visit
How we handle it
Pull schedule
We pull upcoming appointments 2 to 3 business days ahead.
Verify
Coverage and benefits checked electronically or in payer portals.
Flag
Inactive coverage, missing referrals or auth needs are flagged.
Update
Your front desk sees results before check-in.
Details that matter
Eligibility denials are among the most preventable denials in billing. Coverage changes often at the start of the year, when patients change jobs, and when Medicaid members are redetermined. A patient who still carries an old card can create a claim that is denied weeks later.
We also catch coordination of benefits problems, where a payer believes another plan is primary, before they block payment.
Questions about eligibility verification
Do you verify same-day appointments?
Yes. Same-day and walk-in visits can be verified the same day if we have the insurance details.
Do you check secondary insurance?
Yes. We verify secondary coverage and coordination of benefits.
See where your revenue is going.
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.