Insurance eligibility verification
Coverage and benefits confirmed before the patient arrives.
Medical and Dental RCM from · US dollars
$2,000
Medical practice RCM: 4-7% of net collections
See all packages and rangesWe check active coverage, plan details, deductibles, co-pays, frequency limits and referral requirements ahead of scheduled appointments, so the front desk knows what to collect and claims are not denied for eligibility.
What you get
- Pre-appointment eligibility checks
- Benefits breakdowns
- Patient responsibility estimates
- Referral requirement flags
- Coverage change alerts
How it fits the rest
Insurance eligibility verification is one part of medical and dental billing (RCM). Most clients combine two or three of these, and the packages on the main service page price them together.
Back to Medical and Dental RCMQuestions
About medical and dental RCM
We charge a percentage of net monthly collections: 4-7% for medical practices and 5-8% for dental practices, depending on specialty, claim volume and payer mix. On USD 50,000 of monthly collections at 4-7%, that is about USD 2,000-3,500 a month. The final percentage is confirmed in writing after a free billing review.