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Eligibility Verification

Verify Before You See. Collect Before You Bill.

Coverage, deductibles, and benefits verified 24 to 48 hours before every visit, so your front desk is never caught off guard.

80% Reduction in Eligibility Denials
24 to 48h Before Appointment
100% of Appointments Verified
Eligibility Verification services from SwiftBilling RCM
80%
Reduction in Eligibility Denials

What We Do

Everything Included in Eligibility Verification

Every step of the process, covered from start to finish.

Real-Time Eligibility Checks

Eligibility verified directly against payer systems, not cached or delayed data.

Full Benefits Breakdown

Deductible (met and remaining), copay, coinsurance, out-of-pocket max, and covered services.

Coverage Date Verification

Active effective date and termination date confirmed, which catches mid-month terminations others miss.

Coordination of Benefits

Primary and secondary insurance identified and ordered correctly before billing.

Batch Next-Day Verification

All next-day appointments verified in batch the evening before, so your front desk is ready at opening.

Front Desk Alerts

Any ineligibility or coverage issues alerted to your front desk in time to contact the patient.

Process

How It Works

01

Schedule

Patient appointment booked in your EHR. We pick up the schedule daily.

02

Verify

Insurance eligibility checked in real time 24 to 48 hours before the appointment.

03

Benefits Pull

Full benefits summary pulled: deductible, copay, OOP max, and covered services.

04

Alert & Update

Issues flagged to front desk; patient record updated with verified insurance data.

80%
Reduction in Eligibility Denials

Why It Matters

Verify Before You See. Collect Before You Bill.

25% of all claim denials are caused by eligibility issues such as inactive coverage, wrong subscriber ID, plan changes, or coordination of benefits errors. Every single one of these is 100% preventable with a single verification check before the visit.

Common Questions

Questions About Eligibility Verification

Straight answers to what practices ask us most about Eligibility Verification.

We verify 24 to 48 hours before each appointment. This gives your front desk enough time to contact the patient if there's an issue, such as lapsed coverage or a high outstanding deductible, before they arrive.

Free · No Obligation

Ready to get started with Eligibility Verification?

Get a free audit that shows exactly where your practice is losing revenue. We respond within 24 hours with clear data, not a sales pitch.