Start the claim with current coverage data

REAL-TIME ELIGIBILITY

Start the claim with current coverage data

Verification before service can prevent demographic, coverage and authorization errors.

CONFIRM COVERAGE

Check active dates and plan details

Validate member information, payer order and benefit status close to the visit.

REVIEW BENEFITS

Capture patient responsibility early

Identify copays, deductibles, coinsurance and service-specific limitations.

FLAG REQUIREMENTS

Find authorization and referral rules

Route exceptions before care or claim submission whenever possible.

UPDATE THE RECORD

Use verified data across the workflow

Correct registration fields and document the response for billing teams.

NEXT STEP

Measure first-pass improvement

Track eligibility-related edits, denials and clean-claim acceptance.