Eligibility Verification

Why Eligibility Verification Matters:


  • Up to 30% of medical claim denials are due to eligibility errors.
  • Delays in coverage verification lead to payment delays or patient dissatisfaction
  • Manual verification wastes front-office staff hours
  • Real-Time Verification

    We instantly check coverage details with payers across all 50 states — so you have the right info at the right time.

  • Accurate Coverage Details

    From plan type to copays, deductibles, and policy limits — we provide the full picture, so there are no surprises later.

  • Fewer Claim Denials

    Minimize rework and boost your revenue cycle with accurate data before services are rendered.

  • Faster Payments

    Reduced turnaround time from claim submission to payment.

  • HIPAA-Compliant & Secure

    Patient data is protected with the highest standards of privacy and security.

  • Integrated & Scalable

    Whether you're a solo provider or a multi-location group, our service grows with your needs.

    Benefits for Your Practice


  • Fewer claim rejections due to eligibility issues
  • Faster payment turnaround
  • Improved patient experience at check-in
  • Front-office staff freed from tedious insurance calls
  • Increased revenue cycle efficiency
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Our Eligibility Verification Process

  • Real-time insurance verification (payer
    portals + clearinghouse integration)

  • Pre-authorization &
    prior authorization tracking

  • Automated eligibility checks 24–48
    hours prior to visit

  • Flagging of out
    of-network coverage

  • Coordination of benefits (COB) verification

  • Electronic documentation
    for audit readiness

  • Integrated directly with your scheduling
    software / EHR / PMS

Request a Free Eligibility Audit

Discover how many of your current denials are
caused by eligibility errors — and how we can fix it.

Technology Advantage

  • ✅API-powered real-time eligibility verification
  • ✅Integrated with top EHR/PMS systems (Kareo, Athena, AdvancedMD, eClinicalWorks, DrChrono, and more)
  • ✅HIPAA-compliant secure processing