Insurance Eligibility Verification

Comprehensive and Practical Solutions In Healthcare Billing

Insurance Eligibility Verification

Insurance Eligibility Verification is an important process where in a provider’s practice or Healthcare facility checks into a patient’s insurance coverage to learn what services or treatment will be covered by insurance to offer better consultation and care.


Research has shown that most of the claims are denied or delayed due to gaps in patient information. This may be linked to incorrect form-filling during their visit, or failure to update the patient demographics of the patient at the front-desk/reception, expiry of insurance cover, lack of Pre-certification, or Prior- Authorization.


Above mentioned problems can be minimized or even Zeroed if every physician’s practice imbibes the proverb “Prevention is better than Cure”.

Trinity RCM believes and practice this principle and that is why we dedicate emphasized resource and time on performing Insurance Eligibility and Benefit verification. A tidy verification process helps achieve three important things that define any practice Success and cash flow.

Better up-front collections of out-of-pocket expenses

Decreased claim denials due to Prior Authorization, No coverage etc.

Eventually improved First pass collection rates.