Verification of Benefits Services in New Jersey

Verification of Benefits

Swiftcare’s Verification of Benefits Services Help You Get Paid—Fast, Fair, and Fully.

Eliminate guesswork and denials before your patients even walk in. Swiftcare Billing’s VOB experts verify insurance coverage, copays, deductibles, and pre-authorization needs, ensuring fast and accurate reimbursements and a better patient experience. Ensure Eligibility. Eliminate Surprises.

Common VOB Issues Providers Face

Claim denials due to incorrect or missing insurance info
Eligibility changes between scheduling and the date of service
Delays from manual verification methods
High staff workload and burnout
Loss of revenue due to patient misunderstanding of benefits

Swiftcare Billing handles it all — so you never get caught off guard.

Why Choose Swiftcare for VOB?

We verify every patient’s benefits for covered services, copays, deductibles, plan exclusions, and out-of-network status — so you don’t have to.

98% Clean Claims Rate
Expert Verification Across Medicare, Medicaid & Commercial Plans
Real-Time Payer Portal Access
Seamless EMR/EHR Integration
Dedicated Support for Pre-Authorizations & Eligibility Checks

Our Verification of Benefits Services

We verify benefits for all major commercial carriers, Medicaid, Medicare, HMOs, PPOs, and self-pay plans. Our Verification of Benefits Services Include:

Real-Time Insurance Eligibility Verification

We verify patient eligibility instantly through payer portals, clearinghouses, or direct contact — confirming coverage status before the appointment. This reduces the number of denied claims and ensures you get paid faster.

Primary & Secondary Coverage Confirmation

We confirm all active insurance policies — both primary and secondary — to determine the correct order of billing and reduce coordination errors that lead to rejections.

Deductibles, Copays, and Out-of-Pocket Limit Checks

Our team checks deductible status, co-insurance, copay amounts, and remaining out-of-pocket balances to ensure accurate patient estimates and financial transparency.

Benefits Validation for Telehealth, In-Person, or Hybrid Services

We validate benefit coverage across all service types — including virtual, in-person, and hybrid care models — ensuring that the visit type is eligible and reimbursable according to the payer’s rules.

Pre-Authorization Tracking & Coordination

If services require prior authorization, we identify and track those requirements early in the workflow — reducing delays, denials, and compliance issues.

Coordination of Benefits (COB) Handling

We handle COB verification and resolution to prevent duplicate billing, ensure proper payment sequence, and avoid denials due to missing or incorrect COB data.

Documentation Updates in EMR/EHR

All verified benefit details are securely entered into your EMR or practice management system — ensuring your clinical and billing teams are aligned and informed before the patient arrives.

Software & EHR Integration

We integrate seamlessly with your systems using secure APIs and clearinghouses. Supported Platforms Include:

Our VOB solutions are HIPAA-compliant, cloud-based, and ready for remote coordination.

Specialties We Support

Behavioral Health & Psychiatry
Physical & Occupational Therapy
Speech Therapy
Primary Care & Family Medicine
Pediatrics
Pain Management
OB/GYN
Dermatology
Chiropractic

Don’t Let Missed Coverage Details Derail Your Revenue

Incomplete insurance verification can lead to claim rejections, delayed reimbursements, and frustrated patients.

SwiftCare Billing Helps You Get It Right — Before the First Appointment. Eliminate verification errors, reduce denials, and enhance payment collections from the start.

Frequently Asked Questions

How does Swiftcare verify insurance coverage?

We use payer portals, clearinghouses, and direct payer contact to verify plan type, eligibility dates, deductibles, copays, exclusions, and out-of-network rules.

What happens if a patient’s insurance changes?

Our team proactively re-verifies before each visit and flags any coverage changes to avoid claim denials.

Can you provide same-day VOB results?

Yes, we offer expedited same-day verifications for urgent or last-minute appointments.

Do you help train my front desk team on VOB workflows?

Absolutely. We provide custom workflows, cheat sheets, and onboarding assistance for front office teams.

What makes Swiftcare different from an in-house VOB?

Speed, scale, accuracy, and expertise. We reduce manual workload, prevent delays, and help you collect more from both payers and patients.

How does VOB reduce claim denials?

When VOB is done before services are rendered, it confirms insurance eligibility and plan coverage, reducing the chance of billing errors or denied claims.

Do you verify both primary and secondary insurance?

Yes. We validate all levels of insurance coverage to ensure the correct coordination of benefits (COB) and avoid underpayment.

Can you handle urgent same-day VOB requests?

Yes. Swiftcare Billing provides rapid VOB support for urgent or same-day scheduling as needed.