Revenue cycle / stage 02
Coverage confirmed before service, not disputed after.
Eligibility work means confirming that a payer will actually cover the service being scheduled: active coverage, plan-specific benefits, coordination of benefits between multiple insurers, and whether a prior authorization is required.
We run these checks ahead of the visit so a provider knows what is covered, what the patient owes, and what needs authorization before care is delivered, not after a claim is denied for a check that was never run.
The revenue cycle rail
Claim in motion →
What we handle
Real-time eligibility checks across commercial, Medicare, and Medicaid payers.
Benefit-level detail: copay, coinsurance, deductible status, and visit limits.
Coordination of benefits review when a patient carries more than one policy.
Prior authorization identification and tracking through to approval.
Re-verification for recurring or scheduled care so coverage does not lapse mid-course.
Flagging inactive or terminated policies back to scheduling before the appointment.
Why it matters
Eligibility denials are avoidable, and expensive.
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