For solo and small group practices, denied claims due to insurance ineligibility can seriously impact cash flow and patient satisfaction. That’s why Patient Benefits & Eligibility Verification is the first — and one of the most critical — steps in the revenue cycle.
At AmityCare, we help practices avoid costly billing errors by providing fast, accurate, and thorough insurance verification services. Whether you’re a single-provider clinic or a growing small group practice, we ensure your patients are eligible before the visit — not after.
Eligibility verification is the process of confirming a patient’s insurance status, plan details, and coverage limits before services are rendered. It ensures the provider knows what the insurance will pay, what the patient owes, and whether prior authorization is needed.
Real-Time Patient Eligibility Checks
We verify patient insurance benefits before every scheduled visit — reducing surprises at check-in.
Coverage Details & Co-Pay Information
Know exactly what’s covered, what’s not, and what the patient is responsible for.
Deductible & Out-of-Pocket Status
We check the patient’s plan limits so your front desk can communicate costs clearly.
Plan Type and Provider Network Validation
Ensure your practice is in-network and avoid unexpected out-of-network denials.
Pre-Authorization Requirements
We identify and flag services that need prior authorization so they aren’t denied later.
Patient Communication Support
We provide clear, friendly summaries your staff can use to explain benefits and costs to patients.
If you would like to learn more about our services or explore a possible partnership, we’d love to hear from you.