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Eligibility & Insurance Verification Services

Over 30% of all medical claim denials stem from patient eligibility lapses or uncovered services. V1RCM verifies every patient's coverage in real time before care is rendered.

Never Treat an Ineligible Patient Blindly

When front-office staff are overwhelmed, eligibility checks get skipped. The result is delayed claims, patient confusion, and uncollectible write-offs.

V1RCM's eligibility verification team connects directly with government and commercial payers (Medicare, Medicaid, BCBS, UnitedHealthcare, Aetna, Cigna, Humana) 48 to 72 hours before every scheduled appointment, documenting active coverage, co-pays, remaining deductibles, and prior-auth triggers.

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What We Verify for Every Encounter

  • Active Policy Dates: Ensuring policy active status and identifying primary vs. secondary payers.
  • Co-Pays & Co-Insurance: Specific patient cost-sharing liabilities calculated upfront.
  • Remaining Deductible: Current year-to-date deductible met vs. remaining balance.
  • Specialty-Specific Pre-Auth: Identifying pre-certification requirements for scheduled procedures.