Eligibility Verification

Eligibility verification is the process of confirming a patient’s insurance coverage, benefits, and financial responsibility before medical services are provided. It’s a vital step in revenue cycle management that helps avoid claim denials and billing surprises.
🛠️ What We Check
- Active Coverage Status Is the patient’s insurance plan valid and current?
- Covered Services Does the plan include the procedures being scheduled?
- Co-payments & Deductibles What portion of the cost is the patient responsible for?
- Pre-authorization Requirements Are there any approvals needed before treatment?
- Policy Details Including group number, plan type, and payer-specific rules.