Why Eligibility Verification Cannot Be Skipped

An estimated 75% of all claim denials stem from front-end registration issues, including coverage, demographic, missing referrals, and lack of pre-authorizations. Lack of thorough verify procedures is a systemic error with immediate and cumulative consequences. With HealthEdge Solutions, we ensure you have accurate patient insurance verification before a single service is rendered.

Our dedicated verification specialists utilize a blend of EDI technologies and direct payer communications to confirm active coverage, identify patient responsibility (copays, coinsurance, deductibles), and secure pre-authorizations when required.

What We Verify For Every Patient

• Patient demographic data and subscriber information
• Primary and secondary insurance coverage and coordination of benefits
• Copay, coinsurance, and deductible amounts
• Out-of-pocket maximums and current status
• Pre-authorization and referral requirements