Compliance Isn’t Optional – That’s Why We’re HIPAA Certified.
Smarter Eligibility Verification for Smoother Billing
- Accurate Insurance Eligibility Verification
- HIPAA-Compliant Eligibility Checks for U.S. Hospitals, Clinics, Billing Firms, Labs & Individual Practitioners.
- HIPAA-Compliant process with full patient data security.
- Real-Time Eligibility Checks to prevent claim denials & delays.
- Seamless integration with your existing EMR, PM, or billing software.
COMPLIANCE
HIPAA
Fully HIPAA-compliant operations to safeguard sensitive health information with confidence.
ISO
ISO-certified systems that ensure consistent quality, security, and operational excellence.
HBMA member
Active member of HBMA, upholding industry-leading standards in medical billing and RCM.
Fast Turnaround Time
Experience fast, reliable service delivery with timelines you can count on.
Dedicated Account Manager
A dedicated account manager focused on your success, support, and smooth coordination.
FTE Based Pricing
Choose from FTE-based or transaction-based pricing models tailored to your business needs.
What’s Included in Our Eligibility Verification Service
-
Real-Time Eligibility Checks
Automated verification through clearinghouses and integrated APIs.
-
Manual Payer Portal Checks
Direct login to payer portals for plans not covered in real-time systems.
-
Primary & Secondary Coverage Validation
Confirm active policies across multiple insurances (primary, secondary, tertiary).
-
Benefit & Plan-Level Details Review
Co-pays, deductibles, out-of-pocket limits, visit restrictions, and exclusions.
-
Policy Effective Dates Check
Confirm policy start and end dates for claim acceptance assurance.
-
Patient Demographics & Policy Matching
Match patient information with policy data to prevent denials.
-
Payer & Plan ID Validation / Clean-up
Identify and correct outdated or invalid payer IDs and plan codes.
-
Eligibility Response Documentation
Save all verification records for billing, audit, and compliance purposes.
-
Common Payer Coverage Review
Support for Medicare, Medicaid, and major commercial insurance plans.
-
Specialty-Based Eligibility Handling
Tailored checks based on your specialty.
WHO WE SERVE
From Eligibility to Collections - We've Got You Covered
Smarter Verification. Stronger Revenue. Prevent Denials with Accurate Verification. - Know More >
Notifications