What we do
- Benefits checked ahead of time — coverage confirmed before the appointment, not after the claim bounces.
- Coverage & copay, in plain terms — clear answers on what’s covered, what the patient owes, and what needs authorization.
- No more front-desk surprises — your team walks into each session already knowing the coverage picture.
How it fits SimplePractice
Eligibility runs inside the tools your clinicians already use — there’s no separate portal to learn. Verification happens as part of the workflow and feeds straight into claims submission, so clean coverage data follows the claim from the very start.
Why it matters
Clean eligibility is the cheapest denial you’ll ever prevent. Catching a coverage gap before the session spares you the far more expensive cycle of a denied claim, an appeal, and aging A/R — and it means denial resolution has far less to clean up later.
FAQs
Do you check eligibility for every session?
Yes — verification runs ahead of appointments so coverage is confirmed before the service, not discovered after a claim is denied.
What happens if a patient’s coverage has changed?
We flag the change before the session so your team can confirm the new plan, authorization, or patient responsibility in advance.
Is this only useful for new patients?
No. Plans, deductibles, and authorizations change throughout the year, so ongoing verification protects revenue for established patients too. See the full revenue cycle for how the pieces connect.