Eligibility Verification
Streamline your verification process for faster, more accurate insurance eligibility checks.
About the service
Eligibility verification is a critical first step in the revenue cycle that ensures patients have active insurance coverage for the services they receive. Our AI-powered verification system streamlines this process by automatically checking insurance eligibility, verifying benefits, and identifying potential coverage issues before services are rendered.
By addressing insurance verification proactively, we help skilled nursing facilities reduce claim denials, minimize billing errors, and improve cash flow. Our solution integrates with all major insurance payers and provides real-time verification results, allowing your staff to focus on patient care rather than administrative tasks.
Key benefits
Reduced denial rates
By verifying insurance coverage in advance, our system helps prevent denials due to eligibility issues, which are among the most common reasons for claim rejection.
Accelerated processing
Our AI-driven system processes verifications in seconds rather than minutes or hours, allowing immediate confirmation of coverage for new admissions.
Enhanced accuracy
Automated verification eliminates manual data entry errors and ensures that all required information is captured correctly every time.
Improved staff efficiency
By automating the verification process, your administrative staff can focus on higher-value activities rather than spending hours on routine eligibility checks.
How it works
Data collection
Patient demographic and insurance information is collected either through manual entry or integration with your existing electronic health record (EHR) system.
Automated verification
Our AI system securely connects with insurance payers' databases to verify coverage, check benefits, and confirm authorization requirements in real-time.
Results analysis
The system analyzes verification results to identify potential issues such as coverage limitations, pre-authorization requirements, or secondary insurance needs.
Actionable reporting
Clear, concise verification reports are generated with actionable insights and recommendations for addressing any issues discovered during the verification process.
Ready to streamline your eligibility verification?
Contact our team to learn how our eligibility verification solution can help your facility reduce denials and improve cash flow.
Contact our team