We re-check eligibility on the day of service for high-risk payers to catch any last-minute changes.
Eligibility verification is the first checkpoint of revenue cycle success. A missed coverage detail or incorrect benefit assumption can result in denials, delayed payments, or even patient dissatisfaction. At ConnecticutMedBill, we ensure every patient’s insurance eligibility and benefits are verified before service—so you deliver care with confidence and get paid without surprises.
According to the Medical Group Management Association (MGMA), up to 75% of claim denials are preventable—and nearly half stem from eligibility or benefit issues. That’s not just an operational hiccup—it’s lost revenue, wasted staff time, and frustrated patients.
Eligibility verification isn’t just about checking if a plan is “active.” It’s about digging deeper: confirming co-pays, deductibles, prior authorization requirements, coverage limits, and payer-specific quirks that often trip up practices. ConnecticutMedBill takes that burden off your team.
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At ConnecticutMedBill, we don’t just “check boxes” for insurance verification—we protect your revenue at the very first step of the billing cycle. Our team blends expertise with technology to:
The result? Fewer billing surprises, smoother collections, and faster reimbursements.
We integrate seamlessly with your existing practice systems—no need to change your workflow. Our team is trained in leading EHRs, clearinghouses, and payer portals, including:
By leveraging automation and direct integrations, we cut staff workload by 30–40% while improving accuracy and speed in eligibility checks.
Every missed verification is money lost, and every denial takes time you don’t have. With ConnecticutMedBill, you can reduce denials, expedite payments, and deliver a smoother patient experience.
Yes. We check eligibility across Medicare, Medicaid, and all major commercial payers using real-time portals and clearinghouses.
We typically verify 48–72 hours before the appointment to allow time for corrections or pre-authorizations.
Yes. We work with systems such as Epic, Kareo, AdvancedMD, eClinicalWorks, and others to ensure seamless eligibility workflows.
Absolutely. We confirm all active coverages and ensure that coordination of benefits is done correctly.
We provide practices with patient-friendly reports showing co-pays, deductibles, and estimated out-of-pocket costs.
We re-check eligibility on the day of service for high-risk payers to catch any last-minute changes.
Practices that implement our eligibility services see denials drop by 40–50% and collections rise by 15–20% within months.
