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Confirm coverage before the patient ever sits down

Most denials trace back to something that could have been caught before the visit. We verify eligibility and benefits in advance so surprises don't show up on the claim.

Front-End Verification

The single highest-leverage step in the revenue cycle

Eligibility issues — lapsed coverage, wrong plan on file, missing authorization — are among the most preventable causes of denied claims. Once a claim is submitted with bad eligibility data, it's already too late; you're now managing a denial instead of a clean payment.

Claimora verifies eligibility and benefits ahead of each appointment, documenting exactly what's covered so your front desk can collect the right amount and your billing team can submit with confidence.

What's Included

What we verify before every visit

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Active coverage status with the primary and any secondary payer
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Plan type, network status, and effective dates
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Copay, coinsurance, and deductible amounts remaining
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Visit limits and service-specific coverage restrictions
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Prior authorization and referral requirements
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Documentation of benefits directly in your EHR
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Real-time and batch eligibility checks for scheduled appointments

RCM Services

Medical Billing Services Credentialing & Enrollment Eligibility & Benefits Verification Medical Coding Claims Management Payment Posting Accounts Receivable Denial Management & Appeals

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Our Process

How verification happens ahead of the visit

Schedule Review

We pull the upcoming appointment schedule and flag every patient who needs a benefits check.

Payer Verification

Coverage is checked directly with the payer — electronically or by phone when a plan requires it.

Documentation

Verified benefits, copay amounts, and authorization status are logged in your EHR for front-desk and billing use.

Pre-Visit Flagging

Any coverage issue — lapsed policy, missing authorization, out-of-network status — is flagged to your team before the appointment.

Common Questions

Frequently asked questions

Typically 24–72 hours before the scheduled appointment, with same-day verification available for urgent additions to the schedule.

We flag it immediately so your front desk can address it with the patient before the visit, rather than after a denial.

Yes — we confirm whether a referral or prior authorization is required and note the status of any that are already on file.