Eligibility Verification
Real-time insurance verification to prevent claim denials and optimize your revenue cycle from the start.
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Eligibility Verification
Eligibility errors are one of the top reasons claims get denied. For practices of any size, missed verifications mean delayed payments, frustrated patients, and extra admin work.
At Paramount RCM, we take the burden off your staff by verifying insurance coverage upfront—before the patient walks in—so your front desk stays confident, your billing stays clean, and your collections stay strong.
Key Benefits
Instant Eligibility Checks
Verify active coverage in under 30 seconds using clearinghouse-integrated tools.
Fewer Denials
Cut eligibility-related denials by up to 90% and improve claim acceptance rates.
Front-Desk Efficiency
Free up 10–15 staff hours per week by automating manual verification steps.
Fast, Accurate Insurance Checks — Before the Patient Even Walks In
Paramount RCM’s automated eligibility process ensures insurance is verified before the patient ever arrives; reducing claim rejections, improving time-of-service collections, and enhancing patient satisfaction. From real-time payer checks to proactive issue flagging, our four-step system delivers clarity and confidence to your front office.
1
Collect Patient Information
We capture and validate all necessary insurance details—subscriber ID, group number, coverage type—at the time of scheduling or check-in. This proactive step ensures the right data flows through your revenue cycle from the start, preventing costly errors and patient confusion later.
2
Real-Time Eligibility
Our automated tools instantly verify coverage, co-pays, deductibles, out-of-pocket maximums, and prior authorization requirements with payers in under 30 seconds. This reduces the risk of claim denials and ensures patients are financially cleared before their appointment.
3
Identify & Flag Issues
Any gaps, mismatches, or expired policies are flagged immediately for resolution. Our system highlights high-risk policies, secondary insurance requirements, and COB conflicts, so your staff can correct errors before they lead to denied claims.
4
Share Verified Results
Your team receives a concise, easy-to-read summary of all verified benefits, enabling accurate upfront collections, smooth patient communication, and fewer billing disputes. Clear data at check-in means fewer surprises for both your team and your patients.
