Eligibility & Benefits Verification
Prevent front-end denials and improve patient collections by verifying insurance coverage before the point of service.
A significant portion of claim denials—up to 75% by some estimates—are due to front-end issues like inactive coverage or services not being a part of the patient's plan. Verifying eligibility and benefits is the single most effective way to prevent these avoidable denials.
Our service provides your front-desk staff with clear, concise, and accurate information about your patients' insurance coverage in real-time. This empowers you to collect co-pays and deductibles upfront, inform patients of their financial responsibility, and ensure that every claim you submit is for a covered service under an active policy.
- Real-time verification of primary, secondary, and tertiary coverage
- Detailed breakdown of benefits, copays, deductibles, and coinsurance
- Identification of out-of-pocket maximums and remaining benefits
- Checks for pre-authorization and referral requirements
- Integration with your scheduling and EMR systems
- Automated and on-demand verification options
When you and your patients understand their financial obligations upfront, collecting payments at the time of service becomes simple and transparent.
Start every patient encounter with confidence.
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