Eligibility Verification That Cuts Denials by 50%

U.S.-based experts verify Medicare, Medicaid & private insurance in <2 minutes. Reduce front-end denials, accelerate reimbursements, and ensure HIPAA-compliant workflows. Free Verification Audit for clinics in FL, NJ, TX, CA & nationwide.

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Why 500+ Clinics Trust Our Eligibility Verification

Verification in Under 2 Minutes

We use real-time payer portals and AI-assisted tools to confirm coverage, benefits, and copays instantly.

50% Fewer Front-End Denials

By catching eligibility issues before service, we prevent common denials like CO-22, CO-97, and patient responsibility errors.

100% U.S.-Based Verification Team

No offshore delays. Your dedicated specialist is U.S.-based and available for real-time collaboration.

Comprehensive Eligibility Verification Services

We verify every detail — so you never bill an ineligible patient again.

Real-Time Insurance Verification

Confirm active coverage, plan type, and effective dates for Medicare, Medicaid, and 1,200+ private payers.

Benefit & Authorization Checks

Verify deductibles, coinsurance, prior auth requirements, and coverage limits before service delivery.

HIPAA-Compliant Data Handling

All data is encrypted and handled per HIPAA standards. No third-party sharing.

EHR & Payer Portal Integration

Seamlessly integrates with Epic, Cerner, Athena, and all major EHRs for automated verification workflows.

High-Risk Patient Flagging

Automatically flag patients with high deductibles, out-of-network plans, or lapsed coverage.

Dedicated Eligibility Specialist

Your personal U.S.-based expert for complex cases, payer follow-ups, and custom reporting.

Proven Impact for U.S. Clinics

0%

Fewer Front-End Denials

0%

Accuracy in Verification

0

Minutes Avg. Verification Time

Based on 120+ clinics served in 2024. Results may vary.

Eligibility Verification: Frequently Asked Questions

Up to 30% of claim denials are due to eligibility errors. Verifying upfront prevents wasted time, billing errors, and patient billing surprises.

Under 2 minutes for 95% of patients using direct payer portals and EDI 270/271.

Yes! We check deductibles, coinsurance, visit limits, and prior authorization needs for procedures.

Absolutely. All data is encrypted in transit and at rest. Our team is U.S.-based, trained annually on HIPAA, and never shares data with third parties. Learn more.

Start with a free eligibility verification audit. We’ll analyze your last 100 verifications, identify gaps, and show how we can reduce denials. Schedule your free consultation.

Stop Billing Ineligible Patients

The average clinic loses $25K–$100K/year to preventable eligibility denials. Let’s fix it — at no cost.

📞 Schedule My Free Verification Audit

Call: 812-287-7402 | Mon–Fri, 9AM–6PM EST