Accurate Eligibility and Benefit Verification Services

Improve reimbursements. Eliminate rejections and denials.

Eligibility Services

Insurance Eligibility Verification Services and Prior Authorization

Set yourself up for success with automated eligibility and benefits verification services before medical service. Our experts carry out insurance verification and prior authorization checks as part of the billing process.

Coverage

Coverage

Ensuring timely verification of patient coverage with all payer types, keeping patients’ accounts updated.

Benefits Options

Benefits Options

We ensure patient information is updated, including payable benefits, deductibles and policy status.

Referral Authorizations

Referral Authorizations

Identifying and documenting requirements of authorization or a referral to prevent revenue loss.

Accurate Documentation

Accurate Documentation

Adequate and accurate documentation and recording of all benefits accurately to support seamless billing.

Deductibles and Co-insurance

Deductibles, Co-pays, and Co-insurance

Ensuring the accurate estimate for patient deductibles amount, amount met, and co-pay or co-insurance.

Exceptional Workflow

Exceptional Workflow

Enhance patient outcomes and increase revenue with our optimized and efficient workflows.

Our Success in Numbers

10 YRS

in Business

98%

Claim Success

$0 M

Claim Processed

33%

Reduction in AR

Level-up your practice today!

See how Billing Freedom can help your practice grow and thrive in today’s modern healthcare era.

How We Support Your Success

Prevent Delays & Denials

Eligibility and benefits verification are critical first steps before submitting a claim to an insurance plan payer. Incorrect insurance eligibility verification remains one of the top reasons for claims being rejected, delayed, or denied. All these eligibility issues cause payment delays that directly impact the physician's office cash flow. Maintaining a solid insurance verification process within the practice can reduce these types of denials and make your practice more efficient with the improved bottom line; we at BillingFreedom ensure correct benefits verification and determine the correct amounts a patient may owe. Discover how, together, we can transform your business insightfully.

Prevent Rejections

Realtime & Automated Eligibility Checks

Insurance verification involves many complicated and time-consuming steps, and sometimes, verifying patients’ insurance coverage can be challenging due to complex systems and inconsistent data. The patient’s insurance coverage eligibility must be checked before the patient’s appointment to accurately report demographic information on insurance claims. BF has extensive knowledge and experience with government insurance as well as commercial insurance. We provide comprehensive and customized insurance eligibility verification services for all medical specialties and practices of all sizes. Our services included end-to-end insurance eligibility validation prior to appointments determining out-of-network, thus helping practices to prevent accounts from aging and becoming uncollectable.

Automated Eligibility Checks

Certified Eligibility & Benefits Verification Experts

Accurate Verification, Faster Approvals, and Reduced Claim Denials

Prevent billing errors and claim denials with BillingFreedom’s Eligibility & Benefits Verification Services. Our certified billers and coders ensure real-time verification of patient coverage, deductibles, copays, and prior authorizations, helping providers avoid unexpected claim rejections. Optimize your revenue cycle with BillingFreedom.

E and B Experts

Advanced workflows and scalable solutions. Drive by a team committed to your success.

  • tick imageBoost revenue by up to 35%
  • tick imageCut bad debt and grow revenue
  • tick imageSolutions tailored to your practice
  • tick imageCertified billers and coders
  • tick imagePractice-Focused account executives
  • tick image Data security you can trust
Insurance Eligibility

Billing Made Simple!

Supercharge your practice with modern, tech-enabled, and time-saving automations.

Billing Made Simple!

EHRs we work with

Medical billing company that knows the features and workaround of your EHR system. At BillingFreedom we work with your existing EHR.

What our clients say?

 eligibility clients
4.9/5.0
reviews stars
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100+ Providers Trust

We switched from in-house billing to BillingFreedom year ago. The decision was difficult, but we definitely made the right choice. They cleaned up the mess caused by our previous biller. I would highly recommend BillingFreedom medical billing services. I would very much recommend BF to other OB/GYN’s.

Marguerite Brathwaite
reviews stars

Marguerite Brathwaite MD

Health Care Hospital

Ammar Wehbhe
reviews stars

Ammar Wehbhe MD

Health Care Hospital

eligibility clients
4.9/5.0
reviews stars
reviews icons

150,000 Providers Trust

We switched from in-house billing to BillingFreedom year ago. The decision was difficult, but we definitely made the right choice. They cleaned up the mess caused by our previous biller. I would highly recommend BillingFreedom medical billing services. I would very much recommend BF to other OB/GYN’s.

Marguerite Brathwaite
reviews stars

Marguerite Brathwaite

Health Care Hospital

Ammar Wehbhe
reviews stars

Ammar Wehbhe MD

Health Care Hospital

Eligibility & Benefits Verification FAQ’s

What eligibility coverage information is provided?
We confirm information such as coverage, copayments, deductibles, and coinsurance with a patient’s insurance company. This may also include other insurance coverage in effect, PCP, and eligibility status.
When is eligibility verified?
We make sure provision of billing alerts prior to patient appointment (48 hours before the visit) and report demographic information accurately.
What are eligibility verification best practices?
To decrease denials, AR days, and potential delays in revenue, patient eligibility and benefits verification play the most crucial role, and verifying patient coverage prior to a visit helps with the timely collection. We verify inactive plans and flag all such accounts. Check for primary, secondary, and tertiary insurance. Check for services covered under the patient’s insurance policy and whether a referral or prior authorization is needed.
What is your eligibility verification process?
Most payers have made available interfaces to check eligibility online by verifying eligibility electronically before the scheduled patient appointment. Sometimes, it may be necessary to call the payer with questions related to prior authorization requirements or clarify some eligibility and benefits elements.
Benefits Check

Maximize Collections with Timely Benefits Verification for Your Practice

A well-executed Eligibility & Benefits Verification process helps healthcare providers avoid revenue losses and operational inefficiencies while ensuring a seamless patient experience. We at BillingFreedom focus our center our services towards perfecting your practice’s administration and ensuring maximum patient satisfaction.

Get in touch with one of our representatives for a detailed rundown and quote. You can receive a free virtual tour to figure out how our services can fine tune your practice’s revenue cycle.

Let’s get in touch

Please fill up the form, one of our AAPC certified medical biller and coder will reach out to you.