Coverage and authorization problems are the cheapest denials to prevent and the most expensive to fix after the fact. We verify eligibility before the visit — active coverage, plan type, deductible and out-of-pocket status, copay and coinsurance, and referral requirements.
For services that need authorization, we submit, track, and renew. Your schedule is reviewed daily so nothing is performed without an auth on file, and expiring authorizations are flagged before they lapse.
The output is a clean, structured note in your system that your front desk and clinical staff can act on without calling a payer themselves.
Why practices choose us for this
Fewer front-end denials
Coverage and auth denials largely disappear when verification happens before the encounter.
Accurate patient estimates
Patients hear a real number up front, which improves point-of-service collection.
Front desk freed up
Your staff stop sitting on hold with payers and get back to patients in the waiting room.
Frequently asked questions
How far in advance do you verify?
Typically 48–72 hours before the appointment, with same-day checks for add-ons and walk-ins.
Do you handle peer-to-peer scheduling?
We coordinate and schedule peer-to-peer reviews and prepare the clinical summary for the provider.
Can this be bought separately?
Yes, eligibility and prior auth can run as a standalone service alongside your existing billing team.