Insurance Eligibility Verification Services
RekhaTech’s insurance eligibility verification services check patient coverage, benefits, and limits before every visit — catching issues weeks in advance so your practice never submits a claim against inactive or incorrect coverage.
Catch Coverage Problems Before They Become Claim Problems
Most eligibility errors are discovered when a claim bounces — days or weeks after the visit. By then, the patient is gone, the coverage has changed, and the denial process begins. RekhaTech eliminates this by running automated eligibility sweeps daily across all appointments scheduled in the next 20 days. CMS eligibility verification requirements apply to every Medicare and Medicaid claim — automated daily sweeps ensure your practice is always compliant. Every morning, our system checks active coverage, verifies benefits, and flags any discrepancy — giving your team enough lead time to resolve the issue, contact the patient, or request authorization before a single claim is ever filed.
- Automated daily eligibility sweeps across all appointments scheduled in the next 20 days
- Coverage discrepancies flagged weeks in advance — not the morning of the visit
- Benefits verification including co-pays, deductibles, and authorization requirements
- Patient communication for coverage issues before their appointment date
Daily Eligibility Sweeps — 20 Days Out, Every Morning
Every day, RekhaTech’s automated eligibility system checks active coverage for every patient with an appointment in the next 20 days. When coverage is inactive, benefits have changed, or an authorization is required, the system flags it immediately — giving your team weeks of lead time to resolve the issue before it affects a claim or a scheduled visit. This is not a morning-of check. This is a rolling, proactive sweep that catches problems while there is still time to fix them.
What’s Included in Eligibility Verification
Eligibility checked automatically every morning for all appointments in the next 20-day window — no manual batch processing.
Live eligibility checks against payer systems — not cached data that may be days old when coverage status matters.
Co-pays, deductibles, coinsurance, and out-of-pocket maximums verified and documented — reducing patient billing surprises.
When a procedure requires prior authorization, the system flags it for immediate submission — no authorization slips through.
Patients notified before their visit when coverage is inactive or changed — giving them time to resolve before arrival.
Daily and weekly reports on verification status, flagged accounts, and coverage exception rates by payer.
Every scheduled appointment verified up to 20 days out — not the morning of the visit when it’s too late to act.
Eligibility system runs every morning — coverage changes between booking and appointment are caught automatically.
Authorization requirements flagged at eligibility check — before the visit, not after the claim is denied.
Dedicated Eligibility Team or Full Revenue Cycle Coverage?
Eligibility is often best handled as part of a broader front office engagement. The Managed Resource (FTE) model deploys a dedicated eligibility team inside your workflow at fixed cost — you control the process, RekhaTech provides the staffing and quality assurance. If you want full front-to-back revenue cycle management with financial accountability on collections, the Percentage-Based model covers everything.
Dedicated FTE resources, supervised by RekhaTech, working inside your workflow. Fixed cost, full control.
Full end-to-end ownership. RekhaTech is compensated on collections — our incentives are aligned with your revenue.
The 20-day automated eligibility sweep runs every morning regardless of staffing. But when flags are raised — coverage discrepancies, missing authorizations, lapsed policies — a trained specialist needs to act on them the same day. RekhaTech’s bench model ensures that human follow-up never stalls because one person is out. Your assigned eligibility specialist has a trained backup who knows your practice’s scheduling patterns and payer requirements and can pick up open items without a handoff delay.
How Many Claims Are You Filing Against Bad Coverage?
Book a free eligibility audit. We’ll show you how many of your recent claims had coverage discrepancies that could have been caught before the visit.