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.
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.
What We Do
Every step of the process, covered from start to finish.
Eligibility verified directly against payer systems, not cached or delayed data.
Deductible (met and remaining), copay, coinsurance, out-of-pocket max, and covered services.
Active effective date and termination date confirmed, which catches mid-month terminations others miss.
Primary and secondary insurance identified and ordered correctly before billing.
All next-day appointments verified in batch the evening before, so your front desk is ready at opening.
Any ineligibility or coverage issues alerted to your front desk in time to contact the patient.
Process
Patient appointment booked in your EHR. We pick up the schedule daily.
Insurance eligibility checked in real time 24 to 48 hours before the appointment.
Full benefits summary pulled: deductible, copay, OOP max, and covered services.
Issues flagged to front desk; patient record updated with verified insurance data.
Why It Matters
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
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.
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.