The bigger picture
A stronger revenue cycle starts with the details.
Insurance issues discovered after a visit can lead to denials, delayed payments, and unexpected patient balances. Our team handles eligibility and benefits verification so your staff can focus on patients.
A stronger front-end verification process helps prevent insurance issues from creating downstream billing and A/R challenges.
Built around your needs
What’s included
- Active insurance eligibility and coverage dates
- Member, subscriber, and plan information
- Deductible and remaining deductible
- Copay, coinsurance, and out-of-pocket responsibility
- In-network and out-of-network benefits
- Service and visit limitations
- Prior authorization requirements
- Referral requirements
We agree on the exact scope, responsibilities, and reporting with your practice before work begins.
From review to follow-up
A clear process. At every step.
Verify
Confirm patient and insurance information for the applicable date of service.
Review benefits
Review financial responsibility, network status, and service limitations.
Identify requirements
Identify potential authorization, referral, or other payer requirements.
Document
Organize verification results according to your practice’s workflow.
Communicate
Share coverage issues and important findings with your team for follow-up.
Why it matters
Better support for the work behind the care.
- Reduce preventable eligibility-related denials
- Start billing with accurate patient and insurance information
- Reduce time spent on insurance verification
- Provide clearer information about potential patient responsibility
- Identify authorization and referral requirements early
A little more clarity
Your questions, answered.
What information do you verify?
We review active coverage, member and subscriber details, deductibles, copays, coinsurance, network benefits, visit limitations, and potential authorization or referral requirements.
Does verification guarantee payment?
No. Verification reflects information available from the payer at the time of review. Payment can still depend on the plan, authorization, documentation, medical necessity, claim details, and payer policies.
How are coverage issues shared?
Verification results are organized according to your practice’s workflow, and potential coverage issues or important findings are communicated to your team for follow-up.