Eligibility & Prior Authorization
Active coverage and precertification confirmed before patients are seen to eliminate front-end denials.
Over 30% of preventable claim denials stem from front-desk verification gaps. We automate real-time electronic benefits verification and secure prior-authorization tracking so encounters are not delayed by CO 27 or CO 197 denials.
What We Handle
- Real-time 270/271 clearinghouse eligibility sweeps prior to scheduled visits
- Prior authorization submission, tracking, and clinical document attachments
- Deductible, co-pay, and co-insurance calculation for accurate patient collection
- Secondary and tertiary coverage discovery and coordination of benefits
What You Receive
- Elimination of front-end insurance coverage rejections
- Authorization reference numbers integrated into appointment schedules
- Structured patient financial liability summaries for check-in staff
See where your revenue is leaking
Start with a free 10-point A/R and denial audit. We sign a BAA before any patient data is shared.
Request the free audit Request our BAA