Eligibility Verification

We conduct real-time insurance eligibility verification and obtain necessary prior authorizations to streamline patient access to care and minimize claim denials. Our process ensures accurate understanding of patient benefits, including co-pays, deductibles, and other out-of-pocket costs, enabling better upfront communication and financial transparency.
• Conduct real-time eligibility checks through payer portals and clearinghouses to confirm coverage details
• Verify active insurance status, plan type, and specific benefit coverage, including exclusions and limitations
• Assist in obtaining prior authorizations for procedures, diagnostic tests, and surgical interventions, ensuring timely approvals and compliance with payer requirements