Coverage confirmation
Active coverage, plan type and subscriber details checked against what the patient gave you.
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Eligibility Verification
Coverage, copays, deductibles and network status confirmed before the patient arrives, so claims don't deny and patients aren't surprised by a bill.
Get a free consultation$0 to start$3 per verification · verification forms free
Eligibility errors cause a large share of avoidable denials: terminated coverage, the wrong subscriber, a plan that routes behavioral health or imaging to a separate manager, or a provider who isn't in network for that specific plan.
We verify upcoming appointments one to three business days ahead and note anything the front desk needs to collect or fix at check-in.
What's included
Benefit details
Copay, coinsurance, deductible met and remaining, and out-of-pocket maximum.
Network status
Whether the rendering provider is in network for that patient's specific plan.
Carve-out detection
Plans that send behavioral health, therapy or imaging benefits to a separate company.
Authorization flags
Services that need prior authorization flagged before the visit.
Patient estimates
A simple estimate of what the patient will owe, so it can be collected at check-in.
Price
$3 per verification · verification forms free
$0 to start
Nothing to sign up. You pay only for completed work. How payment works
Who it's for
Any practice that bills insurance, especially with high new-patient volume or many Medicaid managed care plans.
How it works
Free billing review
We look at a sample of recent claims, denials and aging A/R to see where money is leaking.
Setup
We connect to your EHR or practice management system, payer portals and clearinghouse.
Daily work
Claims, posting, denials and follow-up run every business day with no backlog.
Monthly report
You get collections, denial rate, days in A/R and what we changed.
Hire it alone or as part of a package
Eligibility Verification is available on its own, and it is also included in Precision Claim Management. See all packages on our pricing page.
Specialties we provide eligibility verification for
We work with practices of every specialty. These pages explain what is different about yours:
Family Medicine & Primary CarePediatricsUrgent CarePhysical Therapy & RehabilitationGastroenterology
See every specialty and provider type →
Eligibility Verification FAQs
How far ahead do you verify?
Usually one to three business days before the appointment, plus same-day checks for walk-ins and new bookings.
Do you call payers or use portals?
Both. Portals and real-time eligibility checks first, and calls when benefits aren't clear online.
Can you collect copays?
We give the front desk the amount to collect. Our virtual receptionists can also take card payments by phone.
Related medical billing services
Ready to talk about eligibility verification?
Book a free 30-minute consultation. We'll review your practice and tell you where to start.