Ensuring accurate insurance verification and pre-authorization is crucial to preventing claim denials and securing timely reimbursements. Our team works diligently to confirm patient eligibility, coverage details, and pre-authorization requirements before services are rendered. By handling these critical steps upfront, we help healthcare providers minimize billing errors, reduce payment delays, and improve patient satisfaction.

Our Insurance Verification & Pre-Authorization Services Include:

• Patient Eligibility Verification – Confirming active insurance coverage, policy details, deductibles, and co-pays.

• Benefit Validation – Identifying covered services, exclusions, and out-of-pocket costs.

• Pre-Authorization Requests – Submitting and tracking authorization approvals for required procedures.

• Coordination with Insurance Providers – Communicating with payers to clarify coverage and resolve any discrepancies.

• Real-Time Updates – Providing timely information to patients and providers to ensure seamless service delivery.

• Compliance & Accuracy Checks – Reducing claim denials by ensuring all pre-authorization requirements are met.

Our end-to-end medical billing services provide maximum reimbursement for our clients while reducing overall costs. We just don’t monitor your account we actively manage it.

• Daily claims entry

• Electronic and paper claim submission

• Dedicated follow-up

• Claim correction and/or re-submission

• Government, commercial and private billing

• Weekly / monthly customized reports

• Patient statements* (soft collections, up to 3 past due notices)

• Payment posting / adjustments

• Tracking/claims management

• Managing collections

• Patient inquires

• Dedicated Account Manager

Need help optimizing your existing processes? We offer expert analysis and tailored strategies to improve your entire revenue cycle’s efficiency and effectiveness.

We analyze denied claims, correct issues, and file strategic appeals to recover lost revenue and prevent future denials.

We specialize in Aging A/R recovery to help medical practices reclaim lost revenue and improve cash flow. Outstanding insurance receivables are a common challenge across all types of healthcare providers, often leading to significant financial strain. Our dedicated team works diligently to pursue every old and unpaid claim, ensuring that no revenue is left behind.

Whether you manage your billing in-house or through another vendor, we can step in to support your team with backlog recovery. If your current billing staff is overwhelmed or unable to keep up with aging claims, we’re here to help you get back on track—and get paid.

Our Services can be used for all types of Medical Specialties, including, but not limited to:

• Acute Care Hospitals

• Addiction/Substance Abuse Hospitals

• Audiologists / Audiology

• Allergy & Immunology

• Anesthesiologists / Anesthesiology

• Bariatric Surgery

• Cardiologists / Cardiology

• Chiropractor / Chiropractic

• Community Hospitals (general)

• Dermatologists / Dermatology

• Dentist / Dentistry

• Durable Medical Equipment

• Ear, Nose & Throat Specialists / Ear, Nose & Throat Speciality

• Emergency Medicine Doctors / Emergency Medicine

• EMT Billing

• Endocrinologists / Endocrinology

• Family Practitioners / Family Practice Physicians / Family Practice Doctors

• Freestanding Emergency Centers 

• Federally Qualified Health Center (FQHC Billing)

• Gastroenterologist / Gastroenterology

• Geriatric Physicians / Geriatrics

• General Surgery

• Hematologists / Hematology

• Hepatologists / Hepatology

• Home Health Services

• Infectious Disease

• Infusion

• Internal Medicine Physicians / Internal Medicine

• Laboratory Billing

• Maternal Fetal Medicine

• Mental Health

• Neonatologists / Neonatology

• Neurologists / Neurology

• Oncologists / Oncology

• OB GYN / Obstetricians / Gynecologists / Obstetrics / Gynecology

• Oral and Maxillofacial Surgery

• Ophthalmologists / Ophthalmology

• Optometrists / Optometry

• Orthopedists / Orthopedics

• Osteopaths / Osteopathic

• Pain Management

• Pathologists / Pathology

• Pediatricians / Pediatrics

• Non-Emergency Medical Transportation (NEMT)

• Physical Therapists / Physical Therapy

• Physiotherapists / Physiotherapy

• Plastic Surgeons / Cosmetic Surgeons / Plastic Surgery / Cosmetic Surgery

• Podiatrists / Podiatry

• Psychiatrists / Psychiatry

• Psychiatric Hospitals

• Radiologists / Radiology

• Rehabilitation Hospitals

• Rheumatologists / Rheumatology

• Rural Hospitals

• Rural Health Billing

• Speech Therapy

• Surgeons / Surgery

• Telemedicine

• Urban Hospitals

• Urgent Care

• Urologists / Urology

• Vascular Surgery

• Other