Insurance eligibility verification & prior authorizations
Coverage checked before visits to prevent avoidable rejections.
- Get the scheduleYou share upcoming appointments in advance.
- Verify coverageInsurance and benefits are checked for each patient.
- Flag issuesAny coverage or authorization problems are sent to you before the visit.
Many denials start before the patient is even seen. I verify each patient's coverage ahead of their appointment and track prior authorizations, so your team knows what is covered and what to collect.
What's included
- Eligibility checks before scheduled visits
- Active coverage and plan details
- Copay, deductible and coinsurance information
- Primary and secondary insurance order
- Prior authorization requests and tracking
- Referral requirement checks
- Alerts for inactive or changed coverage
- Notes your front desk can act on
How it works
- Get the schedule
You share upcoming appointments in advance.
- Verify coverage
Insurance and benefits are checked for each patient.
- Flag issues
Any coverage or authorization problems are sent to you before the visit.
What you receive
Eligibility & authorizations FAQ
How far ahead are patients verified?
Usually one to three days before the appointment, based on your schedule. Same-day additions can be checked as they come in.
Do you request prior authorizations?
Yes. I can submit and track authorization requests with the payer, using the clinical details your team provides.
What happens if coverage is inactive?
Your team is alerted before the visit so the patient can be contacted and the issue resolved.
Why does eligibility verification matter?
Inactive coverage, the wrong primary and secondary order and missing authorizations are some of the most avoidable causes of denials. Checking up front protects revenue and lets patients know their copay, deductible and coinsurance before the visit.