Insurance Verification
Real-time eligibility checks to prevent claim rejections proactively.
About Insurance Verification
Many claim denials trace back to a single preventable error: billing for a patient whose coverage was inactive, had a different primary insurer, or required a referral. Real-time eligibility verification eliminates these denials before a claim is ever submitted.
We verify every patient's insurance before each appointment, confirming active coverage, co-pays, deductibles, and referral requirements — and we flag any issues for your front desk before the patient arrives.
What's Included
- Real-time eligibility checks
- Coverage effective date verification
- Co-pay and deductible lookup
- Referral requirement identification
- Secondary insurance verification
- Medicare secondary payer (MSP) checks
- Pre-registration eligibility
- Batch eligibility verification
- Coverage change detection
- Payer portal access management
How We Do It
- Receive the patient appointment schedule for the following day.
- Run real-time eligibility checks through payer portals and clearinghouses.
- Confirm active coverage, plan type, and patient financial responsibility.
- Identify any referral, authorization, or coordination of benefits requirements.
- Flag discrepancies and notify your front desk staff before the appointment.
- Document verification results in your practice management system.
Common Questions
When do you verify eligibility?
We verify the day before each scheduled appointment as a standard practice. For new patients and complex payers, we verify at the time of scheduling as well.
What happens if a patient's coverage has lapsed?
We notify your front desk immediately so your team can contact the patient before the appointment to discuss payment options or reschedule.
Related Services
Ready to Improve Your Revenue Cycle?
Talk to a billing specialist about how Insurance Verification can work for your practice.
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