The cheapest denial to prevent
Know what a visit is covered for before it happens.
Eligibility problems are the denials that never needed to happen. Checking coverage before the visit turns a denial six weeks later into a two-minute conversation at the front desk, and tells the patient what they owe while they are still standing there.
Coverage check, before the visit
Run the check to see what comes back. This returns sample data and does not contact any payer.
A sample coverage check. Patient and plan are fictional; this returns sample data and does not contact any payer.
What it does
Coverage is checked before the visit: whether the plan is active, what the copay is, how much deductible is left, how much of the out-of-pocket maximum remains, and whether an authorization is on file for what is planned.
What you get
The denials that never needed to happen, prevented, and a patient who is told what they owe while they are still at the desk rather than six weeks later.
Why you can trust it
Each check shows what the plan reported and when it was checked, so your front desk knows how current the answer is before acting on it.
Works with the rest of Incura
Claims that came back and stayed back
Denials
Denials grouped by what actually caused them, so rework effort goes where it will be paid rather than to whatever is on top of the pile.
Denials last month, by root cause
Forty nine denials across four causes. Select one to see the claims behind it.
Office visit, established patient
Meridian Care. Plan terminated 9 days before the visit.
$610
Diagnostic imaging
Cardinal Mutual. No approval on file at submission.
$1,240
Minor procedure
Northbridge Health. Modifier missing on a paired service.
$845
Follow-up visit
Keystone Benefit. Coverage active under a different plan.
$385
Laboratory panel
Meridian Care. Filed 11 days past the window.
$296
Specialist consultation
Vantage Blue. Approval expired before the visit.
$720
Preventive visit
Cardinal Mutual. Service coded as diagnostic, not preventive.
$430
Office visit, new patient
Summit Health Plan. Deductible plan not yet effective.
$515
Showing 8 of 8 sample claims. Payer names are fictional.
Find out what last month actually was.
It starts with one short call. We will walk you through what an independent check of your billing looks for and what it turns up, with no commitment, nothing to install, and no change to how your practice runs.
We usually reply within one business day.