Eligibility Verification
Verify Before You See. Collect Before You Bill.
We verify every patient's active insurance coverage, deductible, copay, coinsurance, and out-of-pocket balance 24–48 hours before their appointment — and alert your front desk to any issues in time to act.
What We Do
Everything Included in Eligibility Verification
Complete coverage of every step — nothing falls through the cracks.
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 — 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 — front desk ready at open.
Front Desk Alerts
Any ineligibility or coverage issues alerted to your front desk in time to contact the patient.
Process
How It Works
Schedule
Patient appointment booked in your EHR — we pick up the schedule daily.
Verify
Insurance eligibility checked in real-time 24–48 hours before the appointment.
Benefits Pull
Full benefits summary pulled: deductible, copay, OOP max, and covered services.
Alert & Update
Issues flagged to front desk; patient record updated with verified insurance data.
Why It Matters
Verify Before You See. Collect Before You Bill.
25% of all claim denials are caused by eligibility issues — 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.
Ready to get started with Eligibility Verification?
Get a free audit and see exactly how much revenue you're leaving on the table. Response within 24 hours — no pitch, just data.