Why Eligibility & Benefits Verification Matters
Insurance eligibility and benefit verification is one of the most critical — and often overlooked — steps in the medical billing process. Verifying a patient’s insurance status and coverage before services are rendered prevents claim denials, unexpected out-of-pocket costs for patients, and delayed payments for your practice.
At Healthcare Revenues, we offer thorough and timely eligibility verification services to protect your revenue and streamline the patient experience.
Our Verification Services Include:
Insurance Eligibility Confirmation
We verify the patient’s current insurance coverage, plan type, group number, policy status, and effective dates.Benefit Details Review
We review deductibles, co-pays, co-insurance, and out-of-pocket maximums to ensure your billing reflects the patient’s coverage accurately.Service-Specific Coverage Check
Verification of authorization requirements, visit limits, pre-certification needs, and network participation for the specific services being rendered.Real-Time Payer Communication
We connect directly with payers via portals or live calls to obtain the most accurate and up-to-date benefit information.Patient Notification Support
Optional service to notify patients of their coverage status, financial responsibility, or missing information — reducing confusion and improving satisfaction.
Benefits to Your Practice
Fewer Claim Denials
Avoid denials due to inactive policies, coverage lapses, or authorization issues.Improved Cash Flow
Accurate upfront billing reduces back-and-forth corrections and accelerates payments.Accurate Patient Collections
Ensure co-pays and deductibles are collected correctly at the point of service.Time Saved for Your Front Desk
Let our team handle time-consuming payer communications so your staff can focus on patient care.
How It Works
- Patient Info Submission
You send us basic patient and insurance details before the scheduled appointment. - Verification & Review
We verify coverage, check benefits, and identify any issues or requirements. - Clear Reporting
We deliver a comprehensive report summarizing the coverage details and recommendations for billing. - Optional Patient Coordination
We can help your team notify patients of their expected costs or required actions.
Support for All Payers and Specialties
Whether you’re billing private insurance, Medicare, Medicaid, or workers’ compensation, we support verification for:
All major commercial and government payers
Specialist and primary care practices
Rehab therapists, labs, and diagnostic providers
Behavioral health and outpatient services
With access to 24/7 PRACTICE MANAGEMENT CONSULTANTS
Our expert medical billing team partners with hundreds of medical practices and healthcare centers nationwide, helping them significantly increase profitability, ensure full regulatory compliance, reduce administrative workload, and remain agile in the face of ongoing industry changes.