Improve Revenue with Insurance Eligibility Verification

Decrease denials, write-offs & increase patient satisfaction.

We Proactively Discover & Verify Patient Coverage

Insurance and eligibility verification services is the key to revenue cycle success. Determining proper patient coverage before the time of service is critical to reducing financial risk.

Streamlined Insurance Verification Process

  • Demographic information entry or update.
  • Verifying coverage on all primary and secondary payers.
  • Confirming authorization for treatment.
  • Updating the billing system with verified details.

Eligibility & Benefits Verification and Prior Authorization Services

BillingFreedom experts help you accelerate your accounts receivable cycle. We confirm the patient’s eligibility and obtain necessary prior authorization before the patient visits the physician’s office.


Verify patients’ coverage on all primary and secondary payers and updating the patients accounts on time.

Referral Authorizations

Obtain pre-certification and obtain approval for the authorization prior scheduling to avoid revenue loss.

Co-Pays & Co-Insurances

Verify the co-pays, co-insurances, deductibles, and claims mailing addresses for seamless process.

Benefits Options

We update patient information, includes payable benefits, deductibles and patient policy status.

Document Checking

Maintain highest levels of accuracy and communication with the client till the completion of paperwork.

Patient Follow-up

If needed we contact the patient for a follow-up to seek any missing or incorrect information.

How Our Services Help

About Our Eligibility Verification Services:

Eligibility and Insurance verification are key processes performed in the initial phase of RCM or medical billing insurance claims process. Unfortunately, most medical billing claims are denied, rejected, or delayed due to incorrect or inadequate coverage details provided by the patient or when coverage details need to be updated by physician front office staff. All these eligibility issues cause delays in reimbursements that directly impact the cash flow of the physician’s office. At BillingFreedom, we have an expert team who are updated with all the regular changes in health plans and policies, which will prevent delays and denials of insurance claims. We have been offering Insurance Eligibility and verification services to physicians throughout the USA for over a decade.

Comprehensive & Customized:

Insurance verification involves many complicated and time-consuming steps. 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 end-to-end medical eligibility verification services improve patient collections and prevent accounts from aging and becoming uncollectable. Our QA team ensures 98% accuracy. We also record phone calls with the insurance representatives for QA purposes.

Our End-to-end Insurance Eligibility Verification Process

Every successful billing depends solely on the success of insurance eligibility verification. The crucial first step in the Revenue Cycle Management process

Patient Registration

Our eligibility &  insurance verification process starts before the patient appointment.

Insurance Eligibility Verification

Verify coverage of the benefits with the patients primary and secondary payers.

Prior Authorization

Where required, we initiate prior authorizations requests and obtain approval for the treatment.


We regularly update patient demographic information in practice management system.

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EHRs we work with

At BillingFreedom, we know the features and workarounds of your EHR system. If you have an existing EHR. BillingFreedom works with that EHR.

Eligibility & Benefits Verification FAQ’s

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.

We make sure provision of billing alerts prior to patient appointment (48 hours before the visit) and report demographic information accurately.

We make sure provision of billing alerts prior to patient appointment (48 hours before the visit) and report demographic information accurately.

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.

Medical Billing Resources.

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Case Study

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Get paid more and Faster with BillingFreedom 24/7 medical billing services.

BillingFreedom is a medical billing company that works with your EHR.

Proud to offer the highest quality service in the industry with a 99.% retention rate.