Insurance Eligibility Verification Services
Verify First. Get Paid Faster. Eliminate Denials at the Start.
Don’t let missing insurance details cost you thousands in denied claims. At Swiftcare Billing, we make insurance eligibility verification seamless, accurate, and fast — empowering your front desk to verify coverage, confirm benefits, and preempt problems before the patient ever steps into your office.
Why Eligibility Verification Matters More Than Ever
80% of claim denials are preventable. Most begin with eligibility errors.
Eligibility verification is not just a front-desk task — it’s the first step to revenue protection. According to MGMA, errors in eligibility and benefit verification account for over 25% of claim denials, costing providers an average of $3,000–$5,000 per month.
Failing to confirm:
- Coverage status
- Co-pay/deductibles
- Plan limitations
- Referral requirements ...means you risk delayed or denied reimbursement and angry patients.
At Swiftcare, we help you verify smarter, bill cleaner, and get paid quicker.
- Our Services
Our Insurance Verification Services
Real-Time Payer Validation
We connect with payer portals and clearinghouses to verify insurance eligibility in real-time, including commercial, Medicare, Medicaid, and managed care plans.
Custom Verification Scripts by Specialty
Dermatology? Cardiology? Mental Health? Each specialty has unique payer rules. We tailor our checks to match your CPT codes, services, and medical necessity rules.
Pre-Auth Flags & Referral Tracking
We flag services that require pre-authorization, referrals, or frequency limits — so your team stays ahead of payer restrictions.
Automated Workflows & EHR Integration
Whether you use AdvancedMD, Kareo, DrChrono, eClinicalWorks, or NextGen, our team integrates seamlessly to update your scheduler with verified data.
Transparent Reporting
Daily and weekly verification logs provide complete visibility into what has been verified, what’s pending, and what requires action.
Our Insurance
Verification Process
1.
Patient Data Intake
We collect demographic, insurance, and visit-type information via EHR or patient intake forms.
02.
Eligibility Check
Our team verifies insurance status, active coverage dates, co-pays, deductibles, visit limits, and benefits tied to the procedure.
03.
Pre-Auth & Referral Review
We identify any pre-authorization requirements and check whether referrals are on file or need to be secured.We collect demographic, insurance, and visit-type information via EHR or patient intake forms.
04.
Documentation & Alerts
Verified data is updated in your PM system, and alerts are sent to your staff regarding any missing or problematic info.
05.
Ongoing Monitoring
We re-verify coverage on long-term care plans, recurring visits, and high-value procedures to prevent mid-treatment surprises.
Specialties We Serve
We provide specialty-focused eligibility verification for:
Have Questions?
Let’s Discuss
Fill out this form, tell us about your practice’s unique needs, and get a tailored solution!
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Nationwide Service — Local Insight
We support practices in all 50 states, with region-specific payer knowledge for:
Alaska
Washington
Oregon
Idaho
North Dakota
Montana
Minnesota
Maine
New York
New Hampshire
Vermont
Massachusetts
Connecticut
New Jersey
Rhode Island
South Dakota
Michigan
Wisconsin
Why Choose Swiftcare for Insurance Eligibility Verification?
Boost Collections. Lower Denials. Empower Your Front Desk.
98.3% Clean Claim Rate
99% Accuracy in Verification
Up to 25% drop in eligibility-related denials
100% HIPAA-Compliant Processes
Integration with 80+ EMR/PM systems
Get Verified. Get Paid. Start Today.
Tired of rejected claims and time-consuming eligibility checks? Let Swiftcare Billing handle it for you. Focus on care — we’ll handle the coverage. We Don’t Just Check Boxes. We Check Everything That Matters.
Frequently asked questions
What types of insurance do you verify?
We verify commercial plans, Medicare, Medicaid, managed care, HMOs, PPOs, and ACA plans.
Do you support same-day eligibility checks?
Yes — we offer real-time verification for walk-ins and urgent visits.
Can you work within our EMR?
Absolutely. We work with over 80+ systems, including Athenahealth, AdvancedMD, Kareo, DrChrono, and more.
Do you also manage prior authorizations?
Yes — we can bundle pre-auth services with eligibility verification for full front-end billing support.
What’s your turnaround time?
Most verifications are completed within 24 business hours. Urgent verifications are processed the same day.