Eligibility & Benefit Verification
Verify first. Bill right. Collect more.
Our team confirms patient insurance coverage and benefit details before every single appointment. Most claim denials trace back to eligibility issues that could have been caught upfront. We make sure they are.
Everything You Need, Nothing You Don't
Real-Time Eligibility Checks
Instant insurance verification through direct payer connections and clearinghouse portals.
Benefit Details Verification
In-depth verification of deductibles, co-pays, co-insurance, and out-of-pocket maximums.
Coverage Gap Identification
Identifying non-covered services before rendering care.
Secondary Insurance Coordination
Verification and coordination of primary and secondary coverage.
Patient Responsibility Estimation
Accurate upfront cost estimates communicated to patients before appointments.
Policy Change Monitoring
Ongoing monitoring of coverage changes, especially for Medicare and marketplace plans.
Results You Can Expect
Our Process
- 1 Daily batch eligibility verification for scheduled appointments
- 2 Real-time spot checks for walk-ins and urgent cases
- 3 Benefits breakdown and coverage analysis
- 4 Patient responsibility calculation
- 5 Coverage findings communicated to front desk
- 6 Follow-up on coverage discrepancies
Get a Free Consultation
Tell us about your practice and we'll put together a custom plan for your billing needs.
Our Other Services
Why RevalonMD