Eligibility Verification

Stop Denials Before They Start

Eligibility issues are a major cause of claim denials and delayed payments. We review insurance coverage, benefits, co-pays, deductibles, and pre-authorization needs. We do this before the patient visits and files a claim. Our checks help stop revenue delays. They also cut down on errors and make claim processing smoother. We use new automation tools to identify gaps, predict outcomes, and speed up eligibility verification. This makes the process more accurate.

What We Offer

Real-Time Checks

Benefits, plan information, and active coverage are verified within payer portals or clearinghouses in real time.

Review of Benefit Details

Co-pay, deductible, co-insurance, out-of-pocket max, and visit limits are verified in relation to every patient.

Authorization & Referral

In case you require advance authorization or referral, we mark it in advance. We can assist in the process in case of need.

Payer-Specific Rule

We handle the different requirements of Medicare, Medicaid, and commercial payers.

Demand Verifications

Whether it’s a full day of cases or urgent verifications, we respond quickly to keep your workflow moving.

Medicare Coverage

Our platform automatically verifies recurring patients, alerts your team to coverage changes, and flags unverified entries.

Advantages for Your Practice

Cleaner Claims, Fewer Denials

Prevent errors before submission by verifying all insurance data at the start.

Quick Reimbursements

Eligibility checks happen quickly, leading to faster approvals and quicker payments.

Lightened Front Desk

Automate regular checks to ease your staff's workload. This cuts down on back-and-forth with payers.

Improved Patient Experience

Provide cost estimates, explain benefits, and eliminate surprises for patients.

Increased Confidence in Scheduling

No more last-minute cancellations or rejections due to insurance issues.

How It Works

Data Collection

We receive patient schedules or intake forms with insurance information.

Verification Process

Our team checks coverage, benefits, and authorizations. We use payer portals and clearinghouse tools.

Reporting & Flagging

Any issues, such as inactive plans, unmet deductibles, or missing referrals, are flagged right away for your staff.

Updates & Estimates

Your team gets patient responsibility and coverage confirmations for check-in or pre-service talks.

Automation

Our AI modules will handle routine checks, reverify expiring coverage, and track authorization timelines.

Why Choose Code Cure AI Eligibility Verification?

Because we see eligibility as more than a checkbox. It’s a key part of your revenue cycle. We focus on speed, accuracy, and lasting performance.

Our verification process cuts down on rework. It improves billing accuracy. This allows your staff to focus on patients, not paperwork. We're developing AI-powered tools for the next generation of automatic, proactive eligibility checks.

The First Step to Faster Payments

Don’t let missed coverage details hold back your revenue. Contact Code Cure AI today. Update eligibility verification and speed up the path to payment.