Eligibility & benefits verification
Insurance eligibility and benefits verification before the visit, not after
A claim denied for inactive coverage was avoidable the day before the appointment. We confirm coverage, copays, deductibles, visit limits and prior authorization requirements for Medicare, Medicaid and commercial plans ahead of every visit, so your front desk knows what to collect and your claims start on solid ground.
Prefer to talk? Call (817) 396-6663
- Checked before every visit
- Prior authorizations
- Clear patient estimates
Signs you need this
The cheapest denial to fix is the one that never happens
“Coverage terminated” denials
Plans change between visits. If nobody checks, you find out from the denial.
Patients surprised by bills
Copay and deductible misquotes lead to awkward conversations and balances that never get paid.
Authorizations nobody tracked
A visit that needed prior authorization and didn’t get one is often impossible to recover.
Why it matters
A visit billed to the wrong plan is a visit you bill twice
Coverage changes more often than patients remember. Jobs change, plans renew in January, Medicaid eligibility lapses, and a secondary plan quietly becomes primary. When nobody checks, the claim is denied weeks later and the patient is surprised by a bill.
Front-desk teams usually know they should verify benefits, but on a busy morning it’s the first thing skipped. A quick portal check misses the details that matter: visit limits, deductibles met so far, behavioral health carve-outs and authorization rules.
We run verification as a scheduled job, ahead of your appointment calendar, and put the answers where your staff can see them.
What we handle
What we check before the visit
Active coverage
Plan active on the date of service, correct payer, member ID and subscriber details.
Patient responsibility
Copay, coinsurance, deductible and out-of-pocket amounts met so far.
Benefit limits
Visit limits, frequency rules and services excluded under the plan.
Authorization needs
Whether the service needs prior authorization or a referral, and whether one is on file.
Coordination of benefits
Primary and secondary order confirmed, so claims go to the right payer first.
Behavioral health carve-outs
Mental health benefits that sit with a different administrator than the medical plan.
What changes for your practice
Know what’s covered before they walk in
Fewer eligibility denials
Inactive and mismatched coverage found before the claim exists.
Accurate patient estimates
Copay, deductible and visit-limit details your front desk can quote with confidence.
Authorizations tracked
Requirements and remaining visits flagged before they become a problem.
Faster check-in
Front desk staff spend less time on hold with payers.
How it works
How verification fits your schedule
Schedule pulled
We review upcoming appointments, usually two to three business days ahead.
Benefits checked
Each patient verified through payer portals or by phone when portals are incomplete.
Results recorded
Benefits, patient responsibility and any problems noted in your EHR.
Problems flagged
Inactive coverage, missing authorizations or referrals flagged to your team before the visit.
For your front desk
Fewer awkward conversations at checkout
When patients know what they owe before they’re seen, they pay more of it at the time of service and complain less afterwards.
- Estimated patient responsibility ready before check-in
- New patients verified as soon as they book
- Same-day add-ons verified on request
- Self-pay patients flagged for a Good Faith Estimate where required
Prior authorizations
Authorizations requested and tracked
When a service needs approval, we request it, attach the clinical information your provider gives us, follow up until there’s a decision, and log the number of visits and the dates it covers.
Before an authorization runs out we flag it to your team, so treatment isn’t interrupted and claims aren’t denied for a lapsed approval.
- Requirement checked for each plan and service
- Requests submitted with supporting documentation
- Approval number, units and date range logged
- Visit counts tracked against the approval
- Renewals flagged before the last approved visit
- Peer-to-peer reviews scheduled when payers ask for one
Client stories
What practices say about working with us
Behavioral health
I used to dread the end of the month. Now I open one report and I know what was billed, what was paid and which claims are still being worked. When a denial comes in, someone has usually already called the payer before I hear about it.
Dr. Rachel MorenoPsychiatrist, solo practice · Austin, TX
Family medicine
Most of our patients are on Medicare or Medicaid, and the paperwork rules change constantly. Cure MB catches eligibility problems before the visit, and my front desk stopped fielding angry statement calls.
Dr. Daniel OkaforFamily physician, four-provider practice · Columbus, OH
Cardiology
Cardiology coding is unforgiving, and our old biller kept resubmitting the same rejected claims. This team found the modifier pattern behind the denials and fixed it at the source.
Dr. Priya RamanCardiologist · Charlotte, NC
Editing note (hidden on the live site): these six testimonials are SAMPLES that show the finished design. To publish a real one, edit the quote, name, role and city, then delete the classes cmb-placeholder and cmb-sample (Block → Advanced → Additional CSS class). Delete any sample you do not replace. The whole section stays hidden on the live site until at least one real testimonial is in.
Free consultation, no obligation
Start every visit with verified coverage
Tell us your EHR and your typical weekly volume, and we’ll show you how verification would fit your front desk.
Behavioral health practices
Verifying benefits for therapy and psychiatry?
Behavioral health benefits often sit with a separate administrator, carry session limits, and treat telehealth differently. We check for all three every time.
Mental health billingPsychiatry billingTherapy billingTherapist credentialing
FAQ
Common questions
Straight answers about how this works with Cure MB.
How far ahead do you verify benefits?
Usually two to three business days before the appointment, so there’s time to fix problems. New patients are verified as soon as they book.
Do you handle prior authorizations?
Yes. We check whether a service needs authorization, submit the request with your documentation, follow up, and track approved visits and dates so renewals happen on time.
Where do the results go?
Into your EHR or practice management system, in the patient’s record, so your front desk sees them at check-in.
Can you verify benefits for patients we see the same day?
Yes, for same-day bookings and walk-ins we verify on request as quickly as the payer’s portal or phone line allows.
Is eligibility verification available on its own?
Yes. Many practices start with verification and add billing later. Ask us for a quote based on your appointment volume.
Keep going
Related services that work together
Every service is run by the same team, so handoffs between steps don’t drop anything.
Revenue Cycle Management
Learn more
Medical Billing & Coding
Learn more
Insurance Credentialing
Learn more
Therapist Credentialing
Learn more
Denial Management
Learn more
A/R Follow-Up
Learn more
Talk to a billing specialist
Talk to a specialist about eligibility verification
Tell us what’s happening with your billing. A specialist who works this area every day will get back to you within one business day.
- Call(817) 396-6663
- Emailsupport@curemb.com
- WhatsAppMessage us on WhatsApp
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