Eligibility Verification Services

Real-Time Eligibility Verification Before Every Visit

MedTaskly verifies coverage, benefits, and authorization requirements before every appointment — eliminating the #1 source of claim denials before they ever happen.

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Quick Answer

What is insurance eligibility verification?

Eligibility verification confirms active insurance coverage, benefits, copays, and authorization requirements before the visit. Verifying eligibility up front prevents claim denials, reduces billing surprises for patients, and protects practice revenue.

The Cheapest Way to Prevent a Denial

Eligibility issues cause more denials than any other category — and they're 100% preventable. The cost of a single denied claim is 10–15 times the cost of verifying eligibility before the appointment. MedTaskly verifies every patient's coverage before the visit so you know exactly what's payable, what's the patient's responsibility, and what services need authorization.

What's Included

  • Real-Time Eligibility Checks (270/271 EDI)
  • Co-Pay, Co-Insurance & Deductible Verification
  • Coverage & Benefits Breakdown
  • Coordination of Benefits (COB) Verification
  • Authorization Requirements Check
  • Out-of-Network Status Identification
  • Patient Cost Estimates
  • Daily Eligibility Reports

How It Works

Pre-Visit Verification

For every scheduled appointment, we verify active coverage 24–48 hours in advance — flagging any issues so your front desk knows before the patient arrives.

Patient Responsibility Estimates

We provide patient-facing cost estimates so you can collect at the time of service — improving cash flow and reducing patient billing.

Authorization Triggers

The eligibility check automatically flags any service that requires prior authorization, handing it off to our prior auth team in real time.

100%
Preventable Denials
24-48hrs
Verification Window
270/271
EDI Checks
$0
Setup Fees
FAQ

Frequently Asked Questions

Everything you need to know before partnering with MedTaskly.

What is insurance eligibility verification?
Confirming a patient's active coverage, benefits, co-pay, deductible, and authorization requirements before the appointment — using EDI 270/271 transactions. It's the #1 cause of denials and 100% preventable.
What is Coordination of Benefits (COB) verification?
COB determines which insurance plan pays first when a patient has multiple plans. Incorrect sequencing is a common denial trigger. We identify COB situations and sequence all claims correctly.

Ready to Take Control of Your Revenue Cycle?

Book a free, no-obligation RCM audit. We'll show you exactly where your practice is losing revenue — and how to fix it.

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Or call us: (888) 800-9943