Front-End RCM, Credentialing

Eligibility Verification

Before your appointment, our team verifies your insurance eligibility to ensure your visit is covered. This process allows us to:

• Confirm your active insurance coverage
• Review co-pays, deductibles, and out-of-pocket costs
• Prevent unexpected billing issues

We work directly with your insurance provider to make sure you know what services are covered. If there are any issues, we’ll notify you before your visit.

Patient Registration

To make your visit smooth and stress-free, we offer convenient registration options:

• Online Pre-Registration: Complete your forms ahead of time.
• In-Office Registration: Arrive early to fill out paperwork with our staff’s assistance.

During registration, we’ll collect:

• Basic personal and contact information
• Insurance details
• Medical history and current medications
• Emergency contact information

This information ensures we provide safe, personalized care while keeping your records accurate and up to date.

Authorization

Some services require prior authorization from your insurance company before treatment. Our staff will:

• Determine if your service needs authorization
• Submit all necessary documentation to your insurance provider
• Keep you updated on the approval status

Authorizations help guarantee that your treatment is covered, avoiding unnecessary delays or expenses.