How Eligibility Verification Reduces Claim Denials and Improves Cash Flow

Introduction:
Eligibility verification is one of the most overlooked steps in the medical billing process—but it’s also one of the most important. Verifying a patient’s insurance before services are rendered is the first line of defense against claim denials.

The Problem & Solution:
A surprising number of claims are denied due to:

• Inactive policies

• Coverage limits

• Lack of prior authorization

Implementing real-time eligibility verification:

• Confirms active coverage

• Identifies co-pays, deductibles, and plan limitations

• Ensures authorization requirements are met beforehand

At Claims Medical Billing, we perform eligibility checks ahead of each visit to reduce denied claims, improve revenue cycle performance, and deliver a smoother experience for both your staff and your patients.

Conclusion:
By addressing eligibility upfront, you prevent revenue loss on the backend. Let us help you eliminate unnecessary delays and keep your revenue flowing.