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.

At Swiftcare, we help you verify smarter, bill cleaner, and get paid quicker.

Our Insurance Verification Services

Real-Time Payer Validation

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

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

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

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

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

Proactive, Accurate, and Built for Clean Claims

Patient Data Intake

We collect demographic, insurance, and visit-type information via EHR or patient intake forms.

Eligibility Check

Our team verifies insurance status, active coverage dates, co-pays, deductibles, visit limits, and benefits tied to the procedure.

Pre-Auth & Referral Review

We identify any pre-authorization requirements and check whether referrals are on file or need to be secured.

Documentation & Alerts

Verified data is updated in your PM system, and alerts are sent to your staff regarding any missing or problematic info.

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:

Nationwide Service — Local Insight

We support practices in all 50 states, with region-specific payer knowledge for:

Alaska

Washington

Oregon

Idaho

Montana

North Dakota

Minnesota

Maine

Vermont

New Hampshire

Massachusetts

New York

Connecticut

Rhode Island

New Jersey

Wisconsin

South Dakota

Michigan

Wyoming

Pennsylvania

Ohio

Illinois

Indiana

West Virginia

Maryland

Virginia

Kentucky

North Carolina

Tennessee

Georgia

Alabama

Texas

Florida

California

Why Choose Swiftcare for Insurance Eligibility Verification?

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.
Yes — we offer real-time verification for walk-ins and urgent visits.
Absolutely. We work with over 80+ systems, including Athenahealth, AdvancedMD, Kareo, DrChrono, and more.
Yes — we can bundle pre-auth services with eligibility verification for full front-end billing support.
Most verifications are completed within 24 business hours. Urgent verifications are processed the same day.

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