Service
Eligibility Checking
We confirm the patient is actually covered before you provide the service, not after.
What’s included
Eligibility Checking
- Real-time eligibility verification per scheduled visit
- Plan status and effective date confirmation
- Subscriber relationship and dependent verification
- Multiple payer checks for patients with dual coverage
Overview
Coverage that's active on the day of service.
Coverage changes constantly. Plans switch, deductibles reset, dependents age off, and coverage lapses happen without notice. Checking eligibility once at scheduling isn't enough. We run verification close to the date of service, so you're billing against coverage that's actually active when the patient walks in.
Real-time eligibility checking is one of the simplest ways to reduce claim rejections. Most of the time, it takes minutes. The cost of skipping it is measured in denied claims and resubmission time.
What's included
What eligibility checking covers.
Real-time eligibility verification per scheduled visit
Plan status and effective date confirmation
Subscriber relationship and dependent verification
Multiple payer checks for patients with dual coverage
Patient notification for coverage issues identified in advance
Our process
From onboarding to ongoing revenue, step by step.
We start by understanding where your revenue cycle is today. From there, we take over the day-to-day and keep improving as we go.
- 01
We review your current setup
We look at how your billing is running today: where claims are getting stuck, what's sitting in aging, and where money is going uncollected. We identify the biggest issues and agree on what to tackle first.
- 02
We get your systems in order
If credentialing or payer enrollment is needed, we start there. We also take over or set up your billing systems so everything flows through one consistent, tracked process.
- 03
We take over the day-to-day
From scheduling and verification through to billing, posting, and collections, we run the full cycle. You focus on patients; we focus on making sure you get paid for seeing them.
- 04
We track, report, and keep improving
We send regular performance reports and keep refining the process. If a payer is causing more denials than usual, we address it. If AR days are creeping up, we act on it before it becomes a bigger problem.
Free consultation
Want coverage confirmed before every visit?
Tell us about your schedule and your payers. On a free call we will explain how we would run eligibility checks for your practice.
- Pick a date and time that suits you
- Confirmation and calendar invite by email
- Talk through your billing, denials and collections
Book a call