Know coverage before they arrive.
Real-time eligibility and benefits verification ahead of every scheduled visit — so copays are collected correctly and coverage surprises don't turn into denials.
The cheapest denial to prevent
Eligibility denials are almost entirely preventable — the information exists before the visit happens. The problem is usually process, not payer behavior.
We verify active coverage, plan-specific benefits, copay/coinsurance amounts and referral or authorization requirements ahead of every scheduled appointment.
What we manage across eligibility & benefits.
Real-time eligibility checks
Active coverage confirmed against payer systems before the visit.
Benefits breakdown
Deductible status, copay, coinsurance and out-of-pocket accumulation.
Referral & auth flags
Visits requiring prior authorization are flagged before check-in.
Front-desk collection sheets
Accurate copay figures delivered to your front desk ahead of the visit.
A visible workflow from intake to outcome.
Every handoff has an owner, a defined state, and a documented next action.
Schedule feed
Upcoming appointments are pulled from your scheduling system daily.
Verify
Coverage and benefits are confirmed directly against payer eligibility systems.
Flag
Authorization or referral requirements are surfaced before the visit.
Deliver
A verification sheet reaches your front desk before the patient checks in.
What changes for your practice.
Questions about eligibility & benefits.
Standard is 48–72 hours before a scheduled visit, with same-day verification available for urgent add-ons.
Active coverage status, plan-specific benefits, copay/coinsurance figures and any authorization or referral requirements.
Practices typically see eligibility-related denials drop significantly once pre-visit verification is in place.
Yes, we can pull appointment feeds from most major scheduling and EHR systems.
We flag it immediately so your front desk can address it before the visit, not after the claim is filed.
Yes — available standalone or bundled into full RCM plans.
Make your next claim cycle more accountable.
Request a free revenue audit. We review 90 days of claims and return a written report with the patterns and opportunities we find.
Request your free revenue audit
One business day response. Always a human.