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INSURANCE VERIFICATION

Insurance Verification Services

A large share of denials start before the patient ever walks in, with coverage that was inactive, benefits that were misunderstood or an authorization that was missing. AviRex RCM's insurance verification service checks eligibility and benefits ahead of each visit, so claims start clean and patients know what to expect.

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

WHAT WE VERIFY

What we verify

Active coverage and effective dates

Plan type, payer and policy details

Copay, coinsurance, deductible and out-of-pocket status

Covered services and visit limits

Referral and prior authorization requirements

Coordination of benefits (primary and secondary insurance)

HOW IT WORKS

How it works

01

Schedule review

We check upcoming appointments from your schedule in advance.

02

Verify

Eligibility and benefits are confirmed through payer portals and, where needed, by phone.

03

Document

Results are recorded in your system, with flags for problems.

04

Alert

Your front desk is notified of coverage gaps or authorization needs before the visit.

WHY IT PREVENTS DENIALS

Why verification prevents denials

Eligibility, authorization and coordination-of-benefits issues are among the most common reasons for denial, and they are avoidable. Catching them early saves rework and reduces patient balance disputes.

BENEFITS FOR YOUR FRONT DESK

Benefits for your front desk

  • ✓Fewer last-minute coverage surprises
  • ✓Clearer patient estimates at check-in
  • ✓Less time on hold with payers

WHY PRACTICES CHOOSE AVIREX RCM

Why practices choose AviRex RCM

  • ✓Done before the visit, not after the denial.
  • ✓Consistent process with documented results.
  • ✓Connected to billing, so verification findings feed claims and denial prevention.

RELATED SERVICES

This service works closely with:

RELATED SPECIALTIES

We also support practices in:

Primary CarePhysical & Occupational Therapy

COMMON QUESTIONS

Insurance Verification Services — FAQ

We alert your team before the visit so the patient can be contacted, and you can decide how to proceed.

Stop denials before they start.

Request a free billing audit from our team.