Know before you bill.

Insurance Verification & Prior Authorization

Real-time eligibility verification and prior authorization management — eliminate denials before they happen.

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100%
Eligibility Verified Before Billing
48h
Auth Turnaround
94%
Clean Claim Rate

The most effective way to reduce denials is to prevent them at the front end. We verify eligibility before every visit and manage prior authorizations from submission through approval — so your clinical team can focus on care, not insurance calls.

Why It Matters

Where practices lose revenue

Eligibility-based denials are 100% preventable

Insurance changes on the 1st of every month. Patients lose coverage, switch employers, or age off a parent's plan. A claim submitted to an inactive plan is a denial that could have been caught at check-in.

Authorization requirements change without notice

A procedure that didn't need auth last quarter may need it now. Keeping up with payer policy changes across 10+ insurance plans is a full-time job.

Authorization tracking gaps cost thousands

Authorization limits, expiration dates, and payer-specific renewal processes are easy to lose track of. One expired auth on a high-value procedure can mean $5,000–$20,000 denied.

What's Included

Insurance Verification & Authorization.
Done right.

No long-term contracts. Dedicated account manager. Full transparency through your client portal. We handle insurance verification & authorization end-to-end — you focus on patient care.

Talk to Our Team
Real-time eligibility verification via Availity — all major payers
Benefits breakdown including deductible, copay, and coinsurance
Prior authorization submission and follow-up
Authorization limit tracking and renewal management
Denial prevention through pre-claim eligibility checks
Coverage documentation for patient records
Same-day authorization turnaround for urgent cases

Ready to get started?

Free revenue cycle assessment — we'll show you exactly where the gaps are and what it would take to fix them.

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