Insurance Eligibility Verification Made Accurate and Fast

Reduce Ineligibility, Improve Cash Flow

Home Insurance Verification

Our Insurance Eligibility Verification Services

To give tough competition, it is better to look for new ways to redesign your RCM models. The focus should be on the components of a good management process that is the insurance eligibility verification. With reliable experience, the DigiMedixteam is thorough with the practices that are reducing the accounts related to the receivable cycling thus resulting in increasing the revenue. We are equipped to handle the healthcare insurance verification services and hence, insulate you from the expensive write-offs.


Patient detail verification like benefits, mailing address for the claims, policy status, and much more

Get the pre-certification and get the approval required for the authorization request

Verification of all the primary and secondary payers

Maintenance of accuracy and communication with the client for proper paperwork

Verification of the co-insurances, claims, addresses alongside a seamless process

The process is undertaken for checking the eligibility

Patient Registration

Registration of the patient

Insurance Eligibility Verification

Verification of the insurance eligibility of the patient

Auditing Quality Check

Auditing the quality check to ensure that there are no errors and inconsistencies


Follow-up through the accounts to get appeals, reimbursements, and missing information for the billing

Our specialty

Checking and verification of documents

We follow a systematic approach for collecting the required information for an invoice. We understand that all the details should be specific and thus, should be collected, entered, presented, and used in a proper way. Our team properly verifies all details for maintaining accuracy and analysis of all the required documents before taking any further steps in the process. Our verification process does not come in a single cycle instead information is checked the time and again.

Verifying the insurance cover of the patient

At DigiMedix, we understand the dire need for the proper and authentic verification of the insurance cover as presented by the patient in the documents filed. We make sure that we are checking all the coverage details related to our patients which makes us dependable. Also, we cross-verify the same to make sure and mention that no important information is missed upon.

Following up on the patient

Our services belong to different communication modes to reach out to the patient and collect information that has been missed or re-confirmation is required. At DigiMedix, we understand the dynamicity and hence, our motive is to make use of information that is reliable, authentic, and properly updated as per the prevalent trends. We have a team of professionals that offer the same assistance by extracting information, re-confirming them, and then updating the same. We keep verifying the information at regular intervals.

Denial of the appeal

As a company, we strive for maximum reimbursements by monitoring all the information and use diagnostic data. Hence, for the same, we aim to conduct the billing and filling process that is streamlined and backed by cross-verification of important information. We keep a regular check on the information available and offer prompt responses and updates whenever any similar situation comes up. This forms the basis in denial of the appeal in the best possible way.

Submitting the requirements

At DigiMedix, we identify the process involved in business environments and sorting the verification requirement for our clients. Our experts are trained to work precisely which helps in identifying the discrepancies with data and resolve the issues during the initial stage only. We meet the market demands and have the motive to establish a satisfied customer base in a stipulated time frame. We also assist the client with process workflow and generating clean claims.

Sorting Insurance Verification Into Categories

The DigiMedix team is dedicated to providing insurance services that comply with regulatory norms. We aim to categorize them and discover the opportunities related to adjusting the workflows. Our services are divided into categories which help in re-training the experts, providers, as well as, employees. Also, this helps us with identifying the challenges and take prior steps to restructure them.

Specialties We Deal

  • Acupuncture
  • Allergy / Immunology
  • Andrology
  • Anesthesiology
  • Audiology
  • Bariatrics
  • Cardiology
  • Clinical Virology
  • Dentistry
  • Dermatology
  • Emergency Room
  • Emergency Medicine
  • Endocrinology
  • Environmental Medicine
  • ENT Neurology
  • Family Medicine
  • Forensic Medicine
  • Gastroenterology
  • Genetics
  • Geriatrics
  • Hematology
  • Internal Medicine
  • Infectious Disease
  • Mental Health
  • Neonatology
  • Nephrology
  • Neurology
  • Nuclear Medicine
  • Occupational Therapy
  • Obstetrics/Gynecology
  • Occupational Medicine
  • Otolaryngology
  • Ophthalmology
  • Optometry
  • Orthopedics
  • Osteopathy
  • Otolaryngology
  • Pain Management
  • Pathology
  • Pediatrics
  • Plastic Surgery
  • Psychiatry/Psychology
  • Radiology
  • Physiotherapy
  • Plastic Surgery
  • Podiatry
  • Preventive Medicine
  • Pulmonology
  • Rehabilitation Medicine
  • Reproductive Medicine
  • Rheumatology
  • Speech Therapy
  • Sports Medicine
  • Urology
  • Vascular Medicine

What makes us different in Insurance eligibility verification services?

Full Compliance

We make sure to opt for a rigid documentation protocol for meeting the HIPAA compliance

Assured Data Security

We attempt to make sure and use firewalls and our modes for transmission include encryption techniques

Extensive Training

We provide guidance and training to our team to acquaint new technologies by staying updated on the requirement

Rigorous Claims Audits

We make sure to do audits regularly to have an analysis of errors so that there is no repetition and the process is streamlined

High Accuracy

Our experts and professionals help the clients to expedite the revenue cycle management for processing the claims quickly

Superior Technology Capabilities

We make sure to use high-level technology that will help in reducing costs and generating new leads for an excellent level of accuracy.

Read Our Clients Latest Reviews

FAQ's on Insurance Eligibility Verification

What is Medical Insurance Verification?

Insurance verification is the process of contacting the insurance company to determine whether a patient’s medical insurance coverage and health benefits cover the required procedures and treatments or not. Some of the information that the healthcare provider requires includes demographic data, policy limitations, benefits or co-pays involved, coverage and deductibles, and restrictions and prior authorization for treatments from the appropriate sources. Insurance verification is critical in revenue cycle management, as without adequate coverage, medical services may be provided, but never paid for. Insurance verification is key to determining how much money is owed for each type of service provided, as well as which individual or entity is responsible for paying it off.

How much will it Cost to Outsource Medical Insurance Verification Services?

The cost will vary according to the scope and complexity of the work. We can fix a price either per FTE or per transaction. The more time it takes to complete a transaction, the higher the cost. Additionally, we can also provide a 1-week trial period without any costs involved, upon which we can mutually agree on the pricing.

Why should I Outsource Healthcare Insurance Verification?

Healthcare insurance verification results in better cashflow as claims are quickly processed and accepted, thus eliminating write-offs and claims denials. Also, if the eligibility verification process is smooth, eligibility responses can be concisely and consistently viewed. This means that the eligibility verification results are attained more efficiently, leading to fewer denials and misallocation of resources. Finally, outsourcing healthcare insurance verification results in faster billing cycles because of reduced payment delays that are caused by claims denials.




HIPAA Compliance


Clean Claims On First Submission


Increase in Collections

Get a Quick Quote

Our Software Expertise