Real-time insurance verification that eliminates claim denials and improves collections.
Our comprehensive eligibility verification services ensure patients are covered, benefits are accurate, and financial responsibilities are clearly communicated before services are rendered.
We verify insurance coverage in real-time, identify prior authorization requirements, calculate patient financial responsibility, and communicate findings to your team and patients.
With our proactive eligibility verification, you can eliminate eligibility-related denials, reduce patient balance issues, and improve your overall collection rate.
We combine real-time eligibility technology with expert benefit analysis to ensure complete coverage verification and accurate patient estimates.
Every eligibility check undergoes automated validation and human review for complex cases to ensure accuracy and completeness.
WHAT'S INCLUDED
Every aspect of insurance verification covered for maximum accuracy and efficiency.
Real-time insurance eligibility verification
Benefit coverage analysis
Deductible and copay information
Prior authorization requirements
Referral requirements
Coordination of benefits determination
Workers compensation lien status
Medicare Secondary Payer status
Pre-service authorization verification
Patient financial responsibility estimates
Payer contract validation
Ongoing eligibility monitoring
OUR PROCESS
Eight-step process ensuring complete and accurate insurance verification.
PERFORMANCE METRICS
Measurable results that drive your revenue cycle success.
>99%
Verification Accuracy
<30 seconds
Response Time
>95%
Patient Estimate Accuracy
100%
Authorization Identification
CHALLENGES WE SOLVE
We handle the complexities so you don't have to.
Outdated insurance information
Complex benefit structures
Prior authorization requirements
Coordination of benefits complexity
Workers compensation lien issues
Patient financial responsibility confusion
Payer contract discrepancies
FAQ
Answers to common questions about our eligibility verification services.
Our real-time eligibility system provides responses in under 30 seconds for most payers. Complex cases requiring manual review are completed within 2 hours.
Yes, we automatically identify prior authorization requirements during eligibility verification and flag them for your team. We also track expiration dates and renewal requirements.
We verify lien status, coordinate benefits with primary insurance, and ensure proper billing procedures are followed to maximize recovery while maintaining compliance.
Patients receive clear, easy-to-understand estimates of their financial responsibility including deductibles, copays, and coinsurance. We also explain any prior authorization or referral requirements.
We verify eligibility at the time of service for scheduled appointments. For ongoing patients, we monitor eligibility monthly and alert you to any changes that might affect billing.
Schedule a free consultation to see how Aethera can verify insurance coverage in real-time.
RELATED SERVICES
Additional services that complement our eligibility verification expertise.