Eligibility Verification

Eligibility and Benefits Verification is an important process that healthcare providers must complete to ensure their practices’ financial success. It helps reduce the risk of denied or delayed claims, ensuring providers receive accurate payment for their services. By checking insurance information ahead of time, providers can also reduce the chance of unexpected medical bills and make their finances more stable overall.

According to the survey report, mostly practice revenue burns due to insurance coverage and member benefits. Many claims are denied because eligibility and benefits are not verified, or the plan or providers do not cover the patient or service. A huge revenue can save if the practice establishes an insurance verification process in the office or get services from a professional organization.

Our trained and experienced specialist team will guide and assist you with patient eligibility and benefits services with custom-designed sheets. We took the patient eligibility and benefit according to the client’s demands.

We highly recommend and encourage all healthcare providers to use the Availity, Navi-Net Provider Portal, or their preferred vendor for eligibility and benefit verifications tools and get benefits information from the member services helpline via phone or IVR.