Division 02 — Healthcare Revenue Cycle

Eligibility & Benefits Verification

Insurance coverage, co-pays, and authorization requirements confirmed before the patient is seen.

Know Before You Provide Care

Eligibility verification is the foundation of a clean claims process. By confirming insurance coverage, benefits, and authorization requirements before patient visits, we prevent claim denials, reduce patient confusion over costs, and ensure your practice gets paid for services rendered. Arrox Global handles verification for all major payers and government programs.

Reduced Denials

Catch coverage issues and authorization requirements before services are provided, preventing costly claim denials.

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Improved Collections

Accurate co-pay and deductible information enables proper patient payment collection at time of service.

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Faster Reimbursement

Clean claims with verified eligibility process faster through payer systems, accelerating your cash flow.

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Compliance Assurance

Ensure all required authorizations are obtained before services, maintaining compliance with payer requirements.

Our Verification Process

Thorough verification before every patient encounter.

Step 1

Insurance Collection

We collect and verify patient insurance information during scheduling or check-in process.

Step 2

Real-Time Verification

We check coverage status, effective dates, and benefit details through payer portals and automated systems.

Step 3

Authorization Check

We identify and obtain required prior authorizations or referrals before scheduled services.

Step 4

Patient Communication

We provide clear information to patients about their coverage, co-pays, and financial responsibility.

Frequently Asked Questions

How far in advance do you verify eligibility?

We verify eligibility at least 24-48 hours before scheduled appointments, with same-day verification available for urgent visits.

What types of insurance do you verify?

We verify all major commercial insurance plans, Medicare, Medicaid, TRICARE, VA, and most managed care plans.

What happens if a patient's coverage has lapsed?

We notify your team immediately so you can discuss payment options with the patient before services are provided.

Do you handle prior authorizations as well?

Yes, we identify authorization requirements and can manage the authorization process for many services and procedures.

Ready to Improve Your Eligibility Verification?

Contact us to discuss how we can reduce denials and improve your revenue cycle.

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