Eligibility Verification
Real-time eligibility and benefits verification
Most denials start at the front desk. We verify active coverage, benefits, copays, deductibles, and authorization requirements before each visit, so your team and your patients know what to expect.
What you get
Why practices hand eligibility verification to us
Fewer eligibility denials
Catch inactive policies, wrong payers, and coordination-of-benefits issues before the visit.
Accurate patient estimates
Collect copays and deductibles at time of service with confidence.
Smoother check-in
Your front desk receives a clean verification summary for every scheduled patient.
Auth flagging
Services that need prior authorization are flagged automatically.
How it works
Our process, step by step
- Step 1
Schedule sync
We pull upcoming appointments from your PM system 72 hours ahead.
- Step 2
Verify
Electronic 270/271 checks, plus payer portal and phone verification when needed.
- Step 3
Document
Benefits, patient responsibility, and auth requirements are written back into your system.
- Step 4
Alert
Exceptions are escalated to your team with clear next steps.
Questions
Common questions about eligibility verification
Typically 48 to 72 hours before the appointment, with same-day checks for add-on visits.
Yes. We confirm coordination of benefits and verify both primary and secondary coverage.
Find out what your billing is really costing you
Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.
We sign a BAA before any patient data changes hands.
