Eligibility Verification Services
Accurate Verifications • Fewer Denials • Faster Payments
Prevent costly claim rejections before they happen. Our Eligibility Verification Services ensure every patient’s insurance details are verified, updated, and approved — so your practice gets paid on time, every time.
HIPAA-Compliant | 99 % Accuracy | Serving Clinics Nationwide
Headquartered in Supporting Healthcare Providers Across the U.S.
Why Eligibility Verification Is Crucial
Up to 30 % of claim denials stem from invalid or expired insurance information. A single missed verification can delay reimbursements for weeks — hurting cash flow and creating frustration for patients and staff alike.
At Expert Medical Billing Services, we take that burden off your front desk. Our specialists perform real-time insurance verification for every patient visit — confirming plan status, coverage limits, copays, deductibles, and authorization requirements before the appointment.
Our team combines manual accuracy + automation technology to minimize errors, reduce claim denials, and ensure your practice maintains steady cash flow throughout the revenue cycle.
How Our Eligibility Verification Process Works
Patient Data Collection
We receive patient details via your EHR system or secure upload portal and check for any missing information before processing.
Real-Time Insurance Check
Our team verifies eligibility directly with payers through clearinghouse portals and payer websites to confirm active coverage and benefit details.
Verification of Coverage & Benefits
We validate plan effective dates, deductibles, co-insurance, copay amounts, visit limits, and pre-authorization requirements based on the specialty.
Exception Handling & Follow-Up
Any discrepancy is resolved immediately through payer calls or fax confirmations to avoid delays on the day of service.
Documentation & Reporting
A verified eligibility summary is uploaded to your system and shared with the front desk for reference — ensuring your team knows exactly what to collect from each patient.
Why Choose Expert Medical Billing Services
| Advantage | What It Means for You |
|---|---|
| 99 % Accuracy Rate | Reduce denials caused by coverage errors and expired plans |
| Faster Reimbursements | Verified data means cleaner claims and quicker payments |
| 24-Hour Turnaround | Same-day verification for scheduled appointments |
| HIPAA Compliance | Secure handling of all patient and payer data |
| Nationwide Coverage | Serving providers across the U.S. |
| Seamless EHR Integration | Works with Athenahealth, Kareo, AdvancedMD, DrChrono, and more |
We become an extension of your front-office team — handling verifications quickly and accurately so you can deliver better patient care without financial surprises.
Medical billing services for all specialties
We support all major medical and dental EHR and billing platforms, including Athenahealth, Kareo/Tebra, eClinicalWorks, AdvancedMD, OfficeAlly, Epic, Cerner, OpenDental, Dentrix, Eaglesoft, CurveHero and more.
Cardiology
Endocranology
Neurology
Public Sector
Radiology
OB/GYN
Nephrology
Urology
Our Eligibility Verification Service Includes
Real-time verification for commercial, Medicare, and Medicaid plans
Confirmation of active coverage and effective dates
Benefit checks for copay, coinsurance, deductible, and visit limits
Pre-authorization and referral requirements review
Payer eligibility portal integration & automated updates
Same-day verification for walk-ins and urgent visits
Daily and weekly verification reports for practice review
Communication with patients regarding coverage status (optional)
Secure document storage and audit trails
Eliminate Billing Leakage with a Complimentary Financial Audit
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Get a Complimentary Financial Health Audit for Your Practice
Features You Can Rely On
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KPI Dashboard
- Visibility into performance indicator such as copays collected, AR per payors, denials, and cash flow in real time.
- View and evaluate your practice revenue to monitor your billing team’s performance.
- Overview of daily appointments and updated patient balances to improve collection at the time of service.
Check-In Validation
- Insurance and benefits eligibility is automatically validated in advance with real-time verification at check-in.
- The most up-to-date patient balance information is available on the scheduler. The system also prompts for copay collection to ensure collection at the time of service.
- Easily collect self-pay and copay via credit card, or other payment types, or quickly set up a payment plan if required—all to help your bottom line and improve financial results.
e-super Bill
Our e-super bill feature recommends the level of evaluation and management (E&M) code that will be appropriate against the provided information. It also outlines missing components, if any, for a particular level of E&M coding, greatly reducing the chances of up/down coding and eliminating the need to hire a separate coder to audit the level of documentation against each claim.
Advanced Reporting
With online reporting and analytics, you have complete financial visibility anytime, anywhere. Our medical billing software provides preformatted reports to measure your practice performance and highlight areas for improvement, as well as customized reports for insight into your unique pain points and performance initiatives.
Our Clients Are Making Healthcare Better
70 % Reduction in Claim Denials caused by coverage errors
30 % Faster Payments after first month of service
1-Day Average Verification Turnaround
Frequently Ask Questions
Ideally before each patient visit. Our team verifies 24–48 hours prior to appointments to ensure coverage is active and accurate.
Yes, we offer same-day verification with a fast-track system for urgent appointments.
We cover commercial, Medicare, Medicaid, and workers’ compensation plans nationwide.
Absolutely. We integrate with all major EHR/EMR platforms to update verification records automatically.
No — we serve healthcare providers across the U.S., with our Florida and Virginia offices providing local support and compliance oversight.
Contact Us
- (321) 594-2213
- info@expertmedicalbillingservices.com
- 915 N Hastings St, Orlando, FL 32808, USA
- 2239 Sherwood Ave SW. Roanoke, VA, 24015