Affordable and Reliable
Insurance Eligibility Verification Services
- Get every claim paid
- Affordable Insurance Verification Services
- Done by experienced Medical VAs
- HIPAA-trained virtual assistants
- Coverage verification across 800+ payers
- Helping you focus on patients.
Let our medical VA handle it. Stop wasting time on insurance calls.
starting from
$ 499
PER MONTH



First Pass Rate
Revenue Increase
Denial Reduction
Clean Claim Rate

Medical Insurance
Eligibility Verification Services
Tired of wasting hours on hold with insurance companies?
Let RxCredentialing’s HIPAA-trained virtual medical assistants handle your patient health insurance verification
—so you can focus on patient care, not paperwork.
Don’t Let Verification Gaps Cost You Money!
Reduce Claim Denials by 33% with Expert Insurance Verification
Fewer Claim Denials
Faster Coverage Checks
We catch coverage gaps, auth requirements, and session limits before you bill, reduced denials
No more manual sifting through portals or waiting on hold. Our VAs verify benefits in minutes, not hours.
Fully secured process.
All our staff has gone through HIPAA compliance training.
Insurance Eligibility Service
Whats involved
Confirms Active Coverage
Verifies coverage for relevant cpt codes and ensures services are covered under the patient's plan.
Identifies Telehealth Coverage
Checks for telehealth coverage
Clarifies Patient Costs
Provides clear details on patient copays, deductibles, and coinsurance responsibilities
Flags Authorization Requirement
Identifies services requiring pre-authorization to prevent claim denial
Insurance Eligibility Service
Benefits of our service
Protect Your Revenue Before the Patient Even Arrives
No More Surprise Patient Balances or Write-Offs
Your Staff Can’t Keep Up — and They Shouldn’t Have To
Avoid the Hidden Costs of In-House Mistakes
Medical Insurance Eligibility
Verification process
Gather Patient Information
We start our insurance eligibility verification process by collecting relevant patient information, including demographic details, insurance ID, payer details, and policy number. This step gives us all the information we need to accurately verify the patient’s insurance eligibility.
Verify Plan Coverage
Next, our experts visit the concerned insurance companies’ websites or portals to validate patient details. We also contact insurance payers to confirm that the patient information, such as plan type, policy number, copays, deductibles, network participation, and coverage exclusions, is up to date.
Evaluate Coordination of Benefits
Some patients have multiple insurance plans . Therefore, we evaluate the Coordination of Benefits (COB) between primary and secondary payers to determine payment responsibilities and avoid billing errors. This step clarifies payment order and coverage limitations.
Obtain Prior Authorization
Next, we identify services or treatments that require prior authorization. In cases where a pre-authorization is necessary, we fast-track the process to secure written approvals from the insurance payer, minimizing the risk of treatment delays and possible claim denials.
Documenting
After confirming everything with the patient and payer, we update all the information, such as plan benefits, exclusions, and limitations, in your EHR or practice management software. This step helps you maintain accurate patient records and simplifies the claim submission process.
Benefits of Outsourcing
Insurance Verification Service
More Revenue
Increase collections with accurate verification and reduced denials
Fewer Surprises
Know coverage details before sessions to prevent unexpected costs
Cost Saving
Reduce operational costs by eliminating in-house verification staff
Reduce Denials
Minimize claim rejections with thorough upfront verification
Higher Clean Claim Rates
Submit claims correctly the first time with accurate information
Know Coverage Details
Verify benefits, copays, and deductibles before appointments
Focus on Patients
Free your staff from insurance calls to concentrate on patient care
Trained Experts
Access specialists with deep knowledge of insurance verification
Quick Verification
Get insurance details verified within 24-48 hours of submission
All Major
Specialties covered
Primary Care
Family Medicine
Internal Medicine
Pediatrics
OB/GYN
General Surgery
Orthopedic Surgery
Cardiology
Dermatology
Endocrinology
Gastroenterology
Neurology
Oncology
Pulmonology
Radiology
Emergency Medicine
Psychiatry
Anesthesiology
Urology
Ophthalmology
Otolaryngology (ENT)
Physical Medicine & Rehab
Geriatrics
Allergy & Immunology
FAQ
Ask us anything
Why can’t my front desk just do eligibility checks?
Most front desk staff are juggling multiple tasks—calls, patients, scheduling—and eligibility often gets rushed or skipped. Our team is fully dedicated to verification, using payer tools, portals, and phone calls to ensure every detail is accurate and up to date.
What exactly do you verify?
We verify patient coverage, active policy status, copays, deductibles, out-of-pocket limits, specialist referrals, and prior authorization requirements. Everything you need to ensure clean claims and avoid costly denials.
How does this help my practice financially?
Verifying eligibility before the visit reduces denied claims, billing errors, and unpaid balances. That means faster payments, fewer write-offs, and more consistent revenue.
Will I receive reports or proof of verification?
Yes. We send detailed eligibility reports daily or weekly (depending on your preference), showing the verification status, benefit details, and any red flags that need attention before the visit.
Is this service HIPAA compliant?
Absolutely. Our team follows strict HIPAA guidelines to protect patient information and ensure full compliance with federal and payer standards.
Do you integrate with my EHR or practice management system?
In many cases, yes. we can directly update patient records. Otherwise, we send secure reports for your staff to upload or reference.
What specialties do you work with?
We serve all outpatient specialties, including primary care, psychiatry, mental health, physical therapy, pediatrics, and more. We tailor the verification process based on the unique needs of your specialty and payers.
Insurances Covered
Insurance Verification Service
Locations
Serving Nationwide
Enjoy faster verification across the nation! Our insurance eligibility verification services are now available in all 50 states.
So, wherever your practice might be, don’t hesitate to contact our expert team to unburden your administrative staff.
Let us help you with coverage checks and quicker approvals so your patients don’t have to wait for their right to access quality
Trusted by Providers Nationwide.
Verified Credentialing Results
We strive to maximize your revenue & reduce expenses with our expertise to handle your insurance eligibility services.
Get your concerns resolved in real time.
Talk to your dedicated manager whenever you want.
We can create all insurance portals for your office, which you can use to check real-time patient eligibility and benefits at no cost.

"Their real-time eligibility verification catches inactive policies before we see patients. They identified that 22% of our Medicaid patients had switched to managed care plans we weren't credentialed with - saved us $85,000 in denied claims last quarter!"
Dr. Wilson, MD
Family Medicine Practice
Medicaid • Medicare • Commercial Plans
"Their system automatically flags patients whose benefits require pre-authorization for our specialists. The detailed coverage breakdowns show exactly what's covered under each plan's mental health parity requirements - no more surprise denials!"
Patricia M., Practice Manager
Multi-Specialty Healthcare Group
Behavioral Health • Cardiology • Endocrinology
"For urgent care, knowing copays and deductibles before treatment is critical. Their API integrates with our EHR and instantly shows which high-deductible plans require payment upfront. We've reduced bad debt by 37% while improving patient satisfaction."
Dr. Chen, DO
Regional Urgent Care Network
HDHPs • ACA Plans • Employer Groups
Experience team
Lead by Expert
Adam’s helped hundreds of healthcare providers start, grow, and sustain medical practices by providing 100% customer-focused, quick-response, and affordable solutions.
Get in touch to discuss more.

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Rx Credentialing is offering medical billing, Insurance credentialing, medical licensure, Insurance eligibility verification and Virtual healthcare assistance services to medical practices across all 50 states.
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