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INSURANCE VERIFICATION

Coverage confirmed before the patient walks in.

Most downstream denials start with an eligibility problem no one caught in advance. We verify coverage, benefits and authorization requirements ahead of the visit, not after the claim is denied.

Coverage & plan status Effective dates Co-pay, coinsurance & deductible Prior authorization requirements Referral requirements Benefit limitations

WHAT'S INCLUDED

A complete, hands-on service — not a checklist.

Eligibility checks

Active coverage and plan status confirmed ahead of each scheduled visit.

Benefit details

Co-pay, coinsurance, deductible status and plan limitations documented before service.

Authorization tracking

Prior authorization and referral requirements identified and tracked to completion.

Real-time updates

Coverage is re-checked close to the appointment date to catch last-minute plan changes.

Front-office coordination

Findings are communicated to your front desk so patients understand their financial responsibility upfront.

Denial prevention

Verification findings are documented so downstream claims aren't denied for avoidable eligibility reasons.

OUR PROCESS

How we run this service day to day.

01

Schedule received

Upcoming appointments are pulled from your scheduling system in advance.

02

Coverage verification

Active coverage, plan type and effective dates are confirmed with the payer.

03

Benefits & authorization check

Co-pay, deductible status, referral and prior-authorization requirements are documented.

04

Findings shared

Results are shared with your front office ahead of the visit.

05

Re-check close to visit

Coverage is re-verified close to the appointment date for same-day accuracy.

WHY IT MATTERS

What this means for your practice.

  • ✓Fewer claims denied for eligibility that could have been caught in advance.
  • ✓Patients understand their financial responsibility before the visit.
  • ✓Prior authorization gaps identified before they delay care or payment.
  • ✓Less last-minute scrambling for your front-office staff.

RELATED SERVICES

This service works closely with:

COMMON QUESTIONS

Insurance Eligibility Verification Services — FAQ

Typically a few business days ahead of the appointment, with a re-check closer to the visit date to catch any last-minute plan changes.

We flag it to your front office as soon as it's identified, so your team can reach out to the patient before the appointment rather than discovering it at check-in.

We track and flag authorization requirements; depending on your setup, we can also assist with submitting authorization requests — we'll confirm scope during onboarding.

Ready to put this to work for your practice?

Tell us about your practice and we'll show you where revenue is slipping through the cracks.