Eligibility & Benefits Verification Services
Eligibility errors are one of the leading causes of claim denials across the healthcare industry. At Impact Innovations, we provide accurate, real-time Eligibility & Benefits Verification services that ensure every patient encounter begins with clean, validated coverage information.
Our goal is simple: prevent rejections before claims are even submitted.
Why Eligibility Verification Matters
Inaccurate or missing coverage details can result in:
Claim rejections
Delays in reimbursement
Surprise patient billing
Increased administrative workload
We eliminate these risks with proactive and automated eligibility checks.
Our Verification Process
1. Real-Time Patient Insurance Verification
We verify:
Active coverage status
Plan type & payer details
Co-pay, deductible, and co-insurance
Referral or authorization requirements
Benefit limitations
Out-of-network rules
All data is validated prior to service to prevent surprises later.
2. Automated Eligibility Tools
Our system integrates with payer portals and clearinghouses, pulling accurate eligibility information within seconds.
3. Secondary Insurance & Coordination of Benefits
We confirm dual coverage and COB rules to minimize reimbursement gaps and avoid partial denials.
4. Flagging High-Risk Cases
Accounts that require special attention (expired policies, incomplete benefits, authorization needs) are flagged and escalated immediately.
How You Benefit
Fewer rejections at the front end
Higher first-pass approval rates
Minimized staff workload
Reduced patient billing disputes
Faster claim submission and reimbursement
Start with Accurate Eligibility Every Time
Improve your revenue cycle from the very first touchpoint.