What we verify
- Active coverage and plan type on the date of service
- Primary vs secondary payer order
- Deductible, coinsurance and copay
- Visit limits for therapy, chiropractic and behavioral health
- Referral and prior authorization requirements
Why it matters
Knowing patient responsibility upfront improves point-of-service collections and reduces surprise bills, which also improves the patient experience.
Eligibility & Benefits Verification by specialty
See how we apply eligibility & benefits verification to specialty-specific rules:
Frequently asked questions
How far ahead do you verify?
Typically one to three business days before scheduled appointments, plus same-day checks for add-ons where possible.