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Everest AR
Services / Insurance Verification

Insurance Verification

Eligibility checks that catch inactive policies, missing auths, and coverage gaps before the patient walks in.

Daily

Schedule verification

All

Major payers

Before

The visit

25+

Years experience

The Problem We Solve

A big share

Of denials are eligibility-related

The most preventable denial type — yet most practices don't catch them until too late.

3 weeks

To discover the problem

By the time the denial arrives, the patient is long gone.

Staff time

Spent on rework

Every eligibility-related denial costs staff time and delays payment.

What’s Included

Eligibility Verification

Verification against all major payers before the patient arrives. Active coverage confirmed before service.

Coverage Gap Detection

Identifies inactive policies, terminated coverage, and plan changes that would cause denials.

Benefit & Copay Verification

Confirms copay amounts, deductible status, and out-of-pocket maximums. No billing surprises for patients.

Auth Requirement Flagging

Flags procedures that require prior authorization so your staff can take action in advance.

Batch Verification

Verify your entire schedule at once. Every patient checked, every issue flagged before the day begins.

Coordination of Benefits

Identifies primary, secondary, and tertiary coverage so claims are billed to the right payer in the right order.

How It Works

1

Step 1

Connect Your Schedule

We work with your PM system to pull tomorrow's patient schedule.

2

Step 2

Verification Runs

Every patient's eligibility is verified before they arrive. Issues are flagged and resolved proactively.

3

Step 3

Denials Drop

Eligibility-related denials become rare. No more surprises weeks after the visit.

Frequently Asked Questions

How does it work?
We pull your daily schedule from your PM system and run eligibility checks against all payers. Issues are flagged before the patient arrives so your front desk can resolve them proactively.
Does it work with all payers?
Yes. We support all major commercial payers, Medicare, Medicaid, and most managed care plans.
Do we need to change our workflow?
No. Verification happens based on your existing schedule. Your front desk sees flagged issues in a simple format — no training needed, no workflow changes.
Can it handle same-day patients?
Yes. Walk-ins and same-day additions are verified when they're added to the schedule.

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