Eliminate front-end claim rejections and coverage surprises. We verify patient eligibility, co-pays, deductibles, and prior-authorization requirements before appointments take place.
Same-Day Validation
24–48 hrs prior to DOS
99.4% Accuracy
Zero eligibility denials
100% HIPAA Secured
BAA & Encrypted Workflows
Stop Revenue Loss before It Starts
Accurate insurance verification before every appointment to help reduce denials, speed up payments, and maximize collections.
Around 27% of claim denials occur because insurance eligibility was not properly verified before the patient's visit. Since each denied claim can cost $25 to $181 to correct and resubmit, eligibility verification is one of the most expensive yet most preventable issues in the revenue cycle.
Every unverified patient increases financial risk, while timely insurance verification reduces denials and protects your revenue.
Pre-Service Verification
Complete benefits breakdown delivered directly into your EHR before the patient arrives in the waiting room.
Every Insurance Check We Handle
for Your Practice
A complete insurance verification workflow managed by your dedicated team, documented in your EHR, before every patient arrives.
Pre-Visit Eligibility Verification
Systematic verification of every scheduled patient’s insurance coverage 72 hours before their appointment — active status, plan details, and all key benefit components confirmed and documented.
Real-Time Benefits Verification
Live benefits checks via EDI 270/271 transactions and payer web portals — returning copay, deductible, coinsurance, and out-of-pocket data for accurate patient estimates and upfront collections.
Coverage & Deductible Confirmation
Deductible amount, amount met year-to-date, coinsurance percentage, and out-of-pocket maximum all confirmed and entered into the patient record prior to every visit.
Coordination of Benefits (COB) Checks
When patients carry primary and secondary insurance, coordination of benefits is verified — primary vs. secondary payer order confirmed, preventing claim crossover errors and delayed reimbursement.
Secondary Insurance Verification
Secondary and tertiary payer coverage verified separately — benefit limits, coverage order, and billing requirements documented before any service is rendered to prevent split-billing errors.
Eligibility Reverification on Denial
When a claim is denied with an eligibility-related code, we reverify current coverage, identify what changed, update the patient record, and prepare corrected claim resubmission documentation.
Your Verification Workflow
From Roster to Appointment
A proactive, end-to-end verification process designed to secure patient coverage and eliminate administrative delays before check-in.
Appointment Review
Patient appointments are pulled from your EHR or practice management system, and each scheduled patient is queued for verification up to 72 hours before the visit.
Insurance Verification
Eligibility and benefits are verified using EDI 270/271 transactions and payer portals.
EHR Documentation
Verified insurance details and benefits are accurately documented in the patient’s EHR.
Re-verification (When Needed)
High-risk cases, such as recent insurance changes or Medicare/Medicaid plans, are re-verified before the appointment.
Denial Resolution
If an eligibility-related denial occurs, we identify the root cause, update the verification details, and support claim correction and resubmission.
of appealed denials can be overturned with proper documentation and timely submission.
Source: Becker's ASC Review industry benchmark.
MAJOR PAYERS WE SUBMIT TO
Frequently Asked Questions
Answers to the most common questions healthcare organizations ask before partnering with Svizzera.