Absolutely. We work with commercial payers, Medicare, Medicaid, HMOs, PPOs, and workers’ compensation plans across the U.S.
Benefits and Eligibility Verification Services
At MedBrilliance, we understand that accurate and timely insurance verification is the foundation of successful medical billing. Our Benefits and Eligibility Verification Services make sure that your patients coverage is verified before services are rendered. We help you reduce claim denials, improve cash flow and provide a smooth patient experience.
Benefits and Eligibility Verification Services
Our Benefits and Eligibility Verification Services ensure your practice gets paid by confirming patient coverage upfront. This proactive approach saves time, prevents claim denials, and improves your revenue cycle.
Insurance Eligibility Checks
We perform thorough checks to confirm a patient's active insurance coverage, including policy status and effective dates, before their appointment.
Benefits Confirmation
Our team verifies specific benefits, such as copayments, deductibles, and coinsurance, so you and the patient know what to expect financially.
Primary and Secondary Payer Identification
We accurately identify and document the correct primary and secondary insurance payers, preventing costly claim rejections due to incorrect billing.
Prior Authorization Assistance
We determine if a service requires prior authorization and handle the process, ensuring all necessary approvals are in place before treatment.
Patient Responsibility Estimation
By combining eligibility and benefits information, we provide a clear estimate of the patient's financial responsibility, improving transparency and collection rates.
Real Time Updates
Medbrilliance system provides real-time updates on a patient's insurance status, allowing for quick adjustments and seamless communication with both your staff and patients.
Stop Losing Money to Claim Denials
We verify patient insurance coverage and benefits upfront to prevent claim denials, ensure accurate billing, and help your practice get paid faster.
- We make every project simple, and efficient for you, not unnecessarily complicated, stressful, or time-consuming.
- We don't overpromise and underdeliver, leaving clients frustrated and disappointed with unmet expectations.
Why Insurance Verification Matters?
One of the top reasons for claim rejections and delayed payments is incorrect or incomplete insurance information. That’s why choosing the best insurance verification services in the USA is essential for smooth revenue cycle management.
With MedBrilliance, you get a dedicated verification team that make sure accuracy and efficiency at every step.
✓ Verified eligibility before patient visits
✓ Real-time updates on coverage changes
✓ Fewer billing errors and denials
✓ Increased patient satisfaction and transparency
How Our Verification Services Work
Our smooth process guarantees efficient & accurate benefits and eligibility verification.
Patient Information Collection
You send us the patient’s demographics and insurance details. Our system makes this step straightforward and quick.
Verification Process
We contact payers directly or use electronic portals to verify coverage and benefits, leaving no stone unturned.
Detailed Reporting
You receive a complete and easy-to-understand verification summary in advance of the patient’s appointment or procedure.
Why Choose Us for Benefits and Eligibility Verification Services
Trained Verification Experts: Our team comprises highly skilled professionals dedicated to accuracy and thoroughness.
Live Payer Calls & Portal Checks: We employ comprehensive methods including direct calls to ensure the most reliable data.
Experience Across Specialties: Our expertise spans a wide array of medical fields, providing tailored solutions for diverse practices.
HIPAA-Compliant & Secure: We prioritize the security and confidentiality of all patient information with rigorous protocols.
Quick Turnaround Times: We understand the importance of speed and deliver timely verification reports without compromising accuracy.
Seamless EHR Integration: Our services seamlessly integrate with your existing systems for a smooth and efficient workflow.
Ensure Revenue with Verified Eligibility
MedBrilliance provides expert Eligibility Verification Services to begin your revenue cycle on the right foot. We confirm patient insurance details and benefits before the visit, preventing denials and payment issues. Our service starts at 2.49% of your collections.
What We Verify in Benefits and Eligibility Verification Services?
MedBrilliance’s specialists carefully review and verify all essential patient and insurance details, ensuring a smooth, accurate, and seamless benefits and eligibility verification process for your practice.
- Patient's active insurance coverage status
- Policy effective and termination dates
- Co-pay, co-insurance & deductible amounts
- Pre-authorization and referral requirements
- Plan coverage limitations and exclusions
- Out-of-network benefits
MedBrilliance Success Rate
Error Free Claim Ratio
0
%
Success Rate on First Send
0
%
Guaranteed Revenue Growth
0
%
Who Can Benefit
Private Practices
Ensure smooth patient visits by verifying coverage and benefits before appointments, reducing denials and delayed payments.
Specialty Clinics
We confirm insurance eligibility and procedure-specific coverage so your clinic can operate efficiently without surprises.
Telehealth Providers
Our verification process ensures virtual visits are covered by payers, helping you receive timely reimbursements.
Surgery Centers
Pre-verifying patient benefits and approvals helps your surgery center avoid delays and streamline procedures.
Medical Billing Companies
Partnering with us gives billing teams accurate eligibility data to reduce claim rejections and improve client satisfaction.
Group Practices and MSOs
We handle benefit verification for multiple providers at once, keeping your group practice or MSO compliant and efficient.
Client Testimonials
Discover why healthcare providers trust MedBrilliance for their billing needs.
"MedBrilliance has completely transformed our billing process. Their team is incredibly efficient, knowledgeable, and responsive. Our revenue cycle has never been smoother, and claim denials have dropped significantly. A truly five-star service!"
Dr. Sarah Davis
Practice Manager, Harmony Health Clinic
"The clarity and detail in their reporting are exceptional. We always know where we stand financially. The transition to their service was seamless, and their customer support is top-notch. I highly recommend them to any medical practice looking to optimize their billing."
Mark Johnson
CFO, Apex Medical Group
"Partnering with MedBrilliance was one of the best decisions we've made. Their expertise in handling complex claims and navigating insurance policies is outstanding. They are a reliable and trustworthy partner that has allowed us to focus more on patient care."
Emily Carter
Owner, Carter Family Practice
Frequently Asked Questions (FAQs)
How far in advance do you verify patient eligibility?
We typically verify insurance coverage 24 to 72 hours prior to the scheduled appointment to ensure timely confirmation and allow for any follow-up, if needed.
Can you handle same-day or urgent verifications?
Yes. We offer same-day verification for urgent cases upon request. Our team is trained to respond quickly while maintaining accuracy.
Do you work with all major insurance companies?
How do you deliver the verified information to our team?
You’ll receive a detailed, easy-to-read verification report via your preferred method – email, secure portal, or direct entry into your system, depending on your workflow.
