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PortMedica

Service

Insurance Verification

We confirm coverage before the visit, so there are no surprises when the claim goes out.

What’s included

Insurance Verification

  • Primary and secondary insurance confirmation before each visit
  • Benefits verification and coverage limits review
  • Co-pay, co-insurance, and deductible check
  • Out-of-network status flagging
See everything included

Overview

Claims built on confirmed coverage.

Billing against the wrong insurance, or billing without confirming active coverage, is one of the most common reasons claims come back rejected. By the time that happens, the patient has already left and the visit is already done. We verify every patient's insurance details ahead of their appointment, so when the claim is submitted, it's built on accurate, confirmed information.

This one step prevents a large proportion of the rejections that practices spend hours correcting after the fact.

A clinic reception desk where patient insurance details are checked

What's included

What insurance verification covers.

  • Primary and secondary insurance confirmation before each visit

  • Benefits verification and coverage limits review

  • Co-pay, co-insurance, and deductible check

  • Out-of-network status flagging

  • Insurance update capture and patient file correction

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.

  1. 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.

  2. 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.

  3. 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.

  4. 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

Tired of claims coming back over coverage?

Tell us how you check insurance today. On a free call we will walk through how we would verify coverage before each visit.

  • Pick a date and time that suits you
  • Confirmation and calendar invite by email
  • Talk through your billing, denials and collections

Book a call

Choose a time for your call

We call you

No patient information, please (names, dates of birth, diagnoses).