Insurance Eligibility Verification

Verify Coverage Before the Visit. Avoid Denials After.

We confirm insurance benefits in real time—so your practice stays paid, and patients stay informed.

Request a Free Eligibility Verification Trial

Our Insurance Eligibility Verification Services

Real-Time Eligibility Checks

We verify insurance coverage instantly through payer portals and clearinghouses—reducing denials and patient confusion at check-in.

Insurance Carrier Calls When Needed

When portal data isn't enough, we call payers directly to confirm benefits, plan details, and pre-auth requirements—no assumptions, just accuracy.

Coordination of Benefits (COB) Validation

We check primary vs. secondary coverage to ensure proper claim routing and avoid costly COB-related rejections.

Deductible & Copay Info for Patient Collection

We provide up-to-date copay, coinsurance, and deductible amounts so your front desk can collect confidently at the time of service.

Eligibility Reporting via Excel or Direct EHR Input

Receive eligibility data in customized Excel sheets or integrated directly into your EHR/PMS—whatever fits your workflow.

Alerts for Plan Gaps, Terminations, or Referrals

We flag terminated plans, non-covered services, and referral requirements to help your staff take proactive action before claims are denied.

About Our Eligibility Verification Services

Eligibility errors are the #1 cause of denied claims. At Medivantek Billing, we make sure every patient walking through your door has active coverage, valid benefits, and accurate plan details, before the service is rendered.We verify eligibility across Medicare, Medicaid, and 100+ private payers in Ohio and nationwide. Whether you're a solo practitioner or a multi-location group, our team ensures every visit starts with verified data and clear expectations.

Common Challenges with In-House or Manual Verifications:

Missed copay, coinsurance, and deductible info
Lack of prior authorization flags before visit
Rushed to the front desk with high call volumes
Increased AR and billing rework
Why Choose Medivantek

Why Providers Choose Medivantek Billing for Insurance Eligibility Verification

Verifying coverage isn't just a front-desk task—it's a critical part of your revenue cycle. One eligibility error can delay payments by weeks or result in total claim rejection. That's why providers nationwide trust Ohio-based Medivantek Medical Billing for real-time, accurate, and specialty-specific insurance verification.

98% Reduction in Eligibility-Related Denials

Stop writing off claims due to outdated or missing coverage info.

Up to 30% Faster Collections at Point of Service

Empower your staff with real-time copay and deductible data.

Support Across 150+ Payers Nationwide

From Medicare and Medicaid to PPOs, HMOs, and specialty plans.

Custom Workflows by Specialty

Tailored verification processes for mental health, primary care, pediatrics, and more.

HIPAA-Compliant Secure Verification

Data security meets speed—because patient trust matters.

How We Help with Real-Time Verifications

We streamline your front-end process with a dedicated eligibility team that:

Verifies insurance benefits 24–48 hours before appointments
Flags' prior authorization needs early
Confirms patient responsibility upfront
Integrates with clearinghouses and EHRs
Updates your staff on any coverage issues
Spec Coding Medivantek

EHR & Clearinghouse Compatibility

Our system integrates with:

  • Availity
  • Office Ally
  • Kareo
  • AdvancedMD
  • eClinicalWorks
  • NextGen
  • Athenahealth
  • Practice Fusion

Stop Losing Revenue Over Missed Coverage Details

Eligibility issues shouldn't delay care or cost you thousands in denied claims. Let Medivantek Billing verify every patient's insurance with speed, accuracy, and payer-specific precision.

Speak with a verification specialist

Frequently Asked
Questions (FAQs)

We verify coverage 24–48 hours before the scheduled visit, giving your team time to address issues before the patient arrives.

Yes. We validate primary and secondary coverage, ensuring accurate coordination of benefits (COB) for clean claim submission.

Absolutely. We check each service against plan requirements and alert your staff about referral or prior authorization needs.

We provide daily reports in Excel, PDF, or EHR-integrated formats, based on your workflow—no manual entry required.

We cover all major payers, including Medicare, Medicaid, Tricare, VA, HMOs, PPOs, EPOs, and commercial plans like UHC, BCBS, Aetna, Cigna, Humana, and more.

Yes. We offer STAT same-day verifications upon request—ideal for walk-ins, urgent care, or last-minute appointments.
Partner With Us

Partner With Us and
Get Paid Every Time

+983 01 1012 04
Serving Bridgeport And Surrounding Communities
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