Real-time and batch eligibility checks catch inactive coverage, plan changes, and authorization requirements before they become denials.
Specialists own every step. Automation handles the repetitive work. Nothing waits in a queue nobody is watching.
Pre-visit batch
270/271 transactions run for every scheduled visit two to three days ahead.
Exceptions
Inactive plans, plan changes, and secondary coverage are resolved by an eligibility specialist before the appointment.
Benefits to the front desk
Copay, remaining deductible, and coinsurance are delivered so patient responsibility can be collected at the visit.
Authorization flag
Services that require authorization are flagged so the request starts before the visit.
AI-assisted pattern detection and decision support that works alongside our billing professionals — never instead of them.
Automated 270/271 transactions surface inactive plans and coverage changes.
Mismatch detection compares registration data to payer responses.
Exceptions go to an eligibility specialist for resolution before the appointment.
Specialty-aligned specialists who know your payer rules.
If it's not here, an RCM specialist will answer it directly.
Most major commercial payers, Medicare, and Medicaid through the clearinghouse, with portal verification where a payer requires it.
A structured review of denials, A/R aging, coding, and underpayments — findings are yours to keep, whether or not we work together.
- · Findings you keep, whether or not we work together
- · No patient information requested
- · A named RCM specialist, not a sales queue
Get your free revenue audit
Step 1 of 4