Behavioral health·Psychiatry·Therapy·General practice·Boca Raton, FL (561) 843-4030
Home/Services/Eligibility & benefits verification
Service 1 of 8 · Full RCM

Every check before the visit — never after the denial.

Real-time eligibility and benefits checks before every scheduled visit so front-desk staff, providers, and patients all know exactly what the payer will and will not cover. The single cheapest denial-prevention step in the revenue cycle.

What's included

Eligibility & benefits verification — what we handle.

01

Real-time coverage checks

Active coverage, effective dates, plan type — verified on a scheduled cadence tied to your appointment book.

02

Copay, deductible & out-of-pocket

So the front desk collects what's owed at the time of service.

03

Session limits & visit caps

Critical for behavioral health, therapy, chiropractic, PT, and other visit-limited specialties.

04

Prior-authorization flags

Requirements caught before the visit, not after the denial.

05

Secondary & tertiary insurance

Coordination-of-benefits order confirmed.

06

Telehealth policy by payer

POS, modifier requirements, coverage of audio-only — verified per payer.

Why it matters.

The most common denial we find in a first-round A/R audit is not a coding error — it is a coverage issue that should have been caught before the appointment. A plan that lapsed 40 days ago. A prior-auth requirement no one flagged. A visit-limit already exhausted. Every one is a preventable denial and every one costs the practice both revenue and the awkward conversation with the patient. Doing eligibility right up front cuts denials, reduces patient-billing surprises, and improves point-of-service collections.

The rest of the cycle

Every link in the revenue cycle — end-to-end or à la carte.

See all 8 services →

De-identified aging only · No obligation · Bilingual (English & Spanish)

Send us your aging report. We'll identify potential missed revenue and opportunities for recovery.

Share a de-identified A/R aging report and we'll review your outstanding balances, aging trends, payer patterns, and recovery opportunities — at no cost and with no obligation.

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