Services / Insurance Verification & Authorizations
The cleanest claim is the one that never gets denied. We verify every patient’s coverage and secure prior authorizations before the visit — so your schedule runs, your front desk collects, and your revenue arrives on time.
Why it matters
≈70%
of claim denials trace back to eligibility and registration errors — caught here, before they happen.
Up to 19 days
can be cut from days in A/R when coverage is verified before the visit.
48 hours
ahead of every appointment — your front desk is never guessing about coverage.
Two jobs, done together
We confirm every patient’s coverage and financial responsibility before they arrive — no surprises at the front desk, no claims bouncing back weeks later.
We secure payer approval for procedures, imaging and services before they happen, and chase every pending request so nothing stalls your schedule.
The deliverable
Every patient gets a clean, complete verification note — coverage, benefits and the exact amount to collect at the desk. No jargon to decode, no guessing. Flip through a few real scenarios.
CHOOSE A SCENARIO
COLLECT AT DESK
$50.00
Proprietary technology
Eligibility, authorizations, referrals and billing — unified in software we built and run ourselves. No bolted-together plugins, no blind spots, and no waiting on a vendor to fix what’s broken.
Every verification note above is generated here — then flows straight into billing without re-keying a thing.
What we confirm
A complete benefits picture means clean claims, accurate patient estimates, and no expensive surprises after the service is delivered.
How it works
We work from your upcoming appointment list so every patient is checked ahead of their visit.
We confirm active coverage and break down the patient’s full financial responsibility with the payer.
Services that require prior approval are identified immediately — before, not after, care is delivered.
We submit the request with supporting clinical documentation through the payer’s preferred channel.
Approvals are logged to your system and your team is notified of patient obligations 24 hours ahead.
If an authorization is denied, we appeal it with a structured, documented response and track it to resolution.
Common questions
Still have a question about verification or authorizations? Call 407 906 9529 — we’re happy to talk it through.
Verification confirms that a patient’s coverage is active and details their benefits — copay, deductible, coinsurance and what they’ll owe. Prior authorization is a separate step where the payer must approve a specific procedure or service before it’s performed. Many services need both, and we handle them together.
The provider is responsible for obtaining authorization before performing a service — and if it isn’t secured, the claim is typically denied with no recourse. We take that work off your staff’s plate and own it end to end.
We verify insurance no less than 48 hours before the date of service and notify your practice of the patient’s copay, coinsurance and outstanding obligations at least 24 hours ahead, so balances can be collected up front.
All major commercial payers, Medicare, Medicaid and regional plans. We support physician groups and ambulatory surgery centers across a wide range of specialties — if you can schedule it, we can verify and authorize it.
We don’t just report the denial — we appeal it. Our team prepares a documented, structured appeal and tracks it through to resolution so approvable services don’t slip through the cracks.
Like the rest of what we do, our fees are competitive and built around your volume. Talk to us about your appointment load and we’ll put together a package that fits.