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Home / Revenue Cycle Management / Eligibility & Benefits Verification
Revenue cycle management
We confirm every patient's coverage, benefits and copays before the visit, so claims go out clean and patients know what they owe.
Checking eligibility and benefits is easy to overlook, yet it affects every claim. Coverage can change without warning, and when it does the result is denials, lost revenue and unhappy patients. Keeping up with these checks also pulls your staff away from other important work.
Getting paid starts with confirming coverage before the patient arrives. Our verification team takes this off your plate with a consistent, accurate process. We contact insurance carriers, confirm benefits ahead of each visit and keep watch for changes.
We check every scheduled patient's insurance through payer portals and real-time eligibility tools.
Copays, deductibles, coinsurance, visit limits and authorization needs are confirmed for the planned services.
Inactive coverage, wrong plan details or missing authorizations are flagged to your front desk in time to act.
Patient insurance details are updated in your system, so claims go out with the right information.
Usually one to three days before the appointment, and again on the day for high-risk cases, so your front desk has time to contact the patient if there is a problem.
Coverage changes often, especially at the start of the year and with Medicaid. Billing a plan that is no longer active leads to a denial and delayed payment.
Yes. With verified benefits we can give your team an estimate of the patient's share, so it can be collected at the visit.
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