Know Exactly What's Covered Before the Patient Walks In

Surprises at billing time start with unknowns at check-in. We verify active coverage, benefits, deductibles, copays, and plan limitations ahead of every appointment, so your team and your patients both know where they stand.

✔ 99% Clean Claim Rate

75+ Medical Specialties

✔ 24/7 Billing Support

Is This Costing Your Practice Revenue Right Now?

Most practices carry these problems for years without measuring what they cost. Here’s where the money usually goes.

After visit

Coverage surprises

Inactive policies discovered after the appointment become your write-off.

Refunds

Wrong copays collected

Guessing at benefits creates refunds, disputes, and awkward calls.

Denied

Missed referral rules

Unflagged referral requirements turn routine visits into denials.

On hold

Front desk stuck on calls

Your staff lose hours a day to payer phone queues.

Everything This Service Covers

Delivered by a dedicated team, inside your systems, with fully HIPAA-compliant data handling.

Coverage Confirmation

Active policy status verified directly with payers before the date of service.

1

Benefit Breakdown

Copays, coinsurance, deductibles met, and out-of-pocket maximums documented per patient.

2

Plan Limitation Checks

Visit limits, exclusions, and referral requirements flagged before they become denials.

3

In/Out-of-Network Status

Provider network participation confirmed so patients aren’t blindsided by balances.

4

Real-Time & Batch Verification

Same-day adds verified in real time; scheduled visits verified in advance batches.

5

Documentation in Your System

Findings recorded directly in your PM/EHR where front desk and billing can see them.

6

Built to Protect Your Revenue

An eligibility denial is the most preventable denial in medicine — the information was available all along. Verifying it up front converts billing surprises into a simple conversation at the front desk.

An eligibility denial is the most preventable denial in medicine, because the information needed to avoid it existed all along — it just wasn’t checked. When coverage lapses, benefits change, or a referral requirement goes unnoticed, the practice delivers care first and discovers the problem only when the claim bounces weeks later.

The damage isn’t only financial. Patients who receive surprise balances they were never warned about don’t blame their insurance company; they blame the practice. Refunds for over-collected copays, disputes over uncovered services, awkward collection calls — all of it traces back to benefits nobody verified before the visit.

Verification up front converts every one of those failures into a simple conversation at check-in. The patient knows their copay, your staff knows the coverage is active, your billers know the claim will route correctly, and coverage problems get solved while they’re still solvable. It’s the cheapest denial prevention that exists — and it doubles as patient service.

How We Deliver Benefit Verification Services, From Day One

Switching sounds disruptive. Our onboarding is designed so it isn’t — with zero revenue interruption during transition.

1 Schedule Sync

Upcoming appointments flow to our verification queue automatically.

2 Payer Verification

Coverage checked through portals, clearinghouses, and direct payer calls.

3 Documentation

Benefits, copays, and flags recorded in your system in a consistent format.

4 Alerts

Coverage problems are escalated to your staff before the patient arrives.

In-House vs Core Axis The Real Numbers

The question isn’t whether outsourcing costs money — it’s whether your current setup is costing you more.

Metric

Typical In-House Setup

Core Axis Healthcare

Annual cost

$50K–$70K per biller plus benefits, training, and software

One transparent rate — team, tools, and expertise included

Clean claim rate

85–92% industry average

98%+ first-pass acceptance

Denial rate

5–10%, with costly rework

Driven down 15%+ through prevention

Days in A/R

Often 40–55 days

Actively worked toward under 30

Coverage

One person’s knowledge — gone when they leave

A full team with backup, always staffed

Scalability

Hire-and-train cycles lag your volume

Scales instantly with patient volume

Technology

Billing software billed separately

Included in the service

Compliance

Liability sits fully on your practice

HIPAA-compliant processes with a dedicated teama

Reporting

Core Axis Healthcare

Scheduled monthly reports with walkthroughs

Specialty-Specific Expertise for Every Practice Type

Every specialty has its own code sets, modifier rules, and denial triggers. Our specialists are trained in yours — across 50+ specialties.

Cardiology

Echo, stress tests, and modifier billing require payer-specific expertise.

Orthopedics

Surgical packages and fracture care demand precise coding accuracy.

Dermatology

Lesion procedures and biopsies require compliant coding and modifiers.

Neurology

EMG, EEG, and nerve studies require specialty coding expertise.

Gastroenterology

Endoscopy procedures require accurate coding and bundling compliance.

Radiology

Professional and technical billing requires accurate modifier application.

OB/GYN

Maternity care and procedures require precise global billing expertise.

Pediatrics

Vaccines and preventive visits require age-specific coding accuracy.

Physical Therapy

Timed therapy services require accurate documentation and coding.

Pain Management

Injection procedures require authorization and precise coding compliance.

Internal Medicine

Chronic care and E/M coding require complete documentation.

Behavioral Health

Therapy sessions require compliant coding and documentation accuracy.

EHR & Practice Management Platforms We Work With

Simple Pricing. Everything Included.

Custom

A simple percentage-of-collections rate quoted for your practice — everything included, nothing hidden.

Your Patient Data, Protected at Every Step

HIPAA Compliant

Every workflow operates under HIPAA Privacy and Security Rule safeguards for PHI.

Encrypted Data

Patient information travels and rests only through encrypted, access-controlled channels.

BAA Provided

A signed Business Associate Agreement is in place before we touch a single record.

Audited Processes

Regular internal audits and staff screening keep our security posture current.

Accounts Receivable Follow-Up: Your Questions Answered

How far in advance do you verify?

Scheduled visits are verified up to 48 hours ahead; same-day additions are checked in real time before the patient is seen.

What exactly gets checked?

Active coverage, copay and coinsurance amounts, deductible status, out-of-pocket progress, visit limits, referral and authorization requirements, and network participation.

Where do the results go?

Findings are documented directly in your PM/EHR in a consistent format your front desk and billers can act on instantly.

Does this really reduce denials?

Yes — eligibility issues are among the most common and most preventable denial reasons, and verifying up front removes them at the source.

Your Patients Need Your Attention. Your Billing Needs Ours.

Stop losing revenue to problems nobody has time to chase. Request your free billing audit and see exactly where your revenue cycle stands.

Sharp drop in eligibility-related denials
Accurate copay collection at check-in
Fewer patient billing disputes later
Front desk freed from hold music
Clear notes your billers can act on
Coverage gaps caught while fixable