Insurance Verification for Medical Practices

V O B

The Problem

Patients arrive with termed coverage. Claims denied.

Your front desk spends 15 minutes per patient on insurance verification calls. Patients with inactive coverage slip through. High-deductible surprises delay collections. Missing referrals cause claim denials discovered weeks later.

See How We Solve This

Verify coverage in seconds, not minutes.

Check active coverage, copay amounts, deductible remaining, and referral requirements instantly—flag issues before rendering service.

Know Before Service

Cut claim denials by 60% or more.

See active coverage status, copay amounts, deductible remaining, and referral requirements in seconds. Flag inactive coverage and high-deductible patients before check-in.

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Coverage Details

What you'll see instantly

Automated eligibility alerts.

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Inactive Coverage Alerts

Flag patients with termed or inactive coverage before they arrive—preventing bad debt and claim denials.

High-Deductible Flagging

Alert when patients have >$2,000 deductible remaining—enabling upfront payment discussions and better collections.

Referral Detection

Know if specialist visits require PCP referrals or prior auth—preventing claim denials discovered weeks later.

EHR Integration

Integrate with Athenahealth, Epic, Cerner—automatically update patient records with verified eligibility data.

Established Patient Fast-Track

Auto-verify established patients with known good coverage—speeding up check-in and reducing front desk workload.

Trusted by medical practices.

Our claim denial rate dropped from 12% to under 5% within two months. The front desk loves it—verification went from 15 minutes per patient to under 2 minutes. Patient collections improved 35% because we catch high-deductible situations upfront.

Dr. Patricia Lewis

Medical Director, Family Medicine Group

We used to have patients show up with termed coverage at least twice a week. Now we catch that at scheduling. Bad debt write-offs are down $180K annually, and our billing team can focus on actual revenue cycle work instead of eligibility research.

Mark Thompson

Practice Administrator, 4-Location Primary Care

The referral detection is huge for our specialists. We know immediately if a patient needs a PCP referral, preventing claim denials that used to hit us 30-60 days post-service. Clean integration with our Athenahealth system.