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Insurance Eligibility And Benefits Verification
We verify insurance eligibility, detail benefits, support prior authorizations, and comply with the No Surprises Act, helping you deliver accurate patient cost estimates.
Accuracy, security, and accountability aren’t add-ons here; they’re the foundation. Our virtual team specializes in eligibility and benefits verification, offering the expertise you expect. We ensure client-specific protocols are followed through structured supervision and real-time quality assurance, adapting our workflow to meet your clinic's specific needs.
Eliminate eligibility-related claim denials
Accurate patient collections upfront
Real-time communication and daily reports
A dedicated team that scales with your needs
Your Go-To Team For Eligibility and Benefits Check
Our insurance benefits verification staff checks each appointment’s insurance in advance and provides detailed benefits information to support accurate patient collections. The result: higher collections and fewer denials.
Insurance eligibility verification for every patient
CPT-specific benefits confirmation
Copay, deductible, and out-of-pocket cost estimation
Prior authorization requirement identification
Coordination with your billing and intake teams
HIPAA-compliant processes and secure access protocols
How Our Virtual Benefits Administrator Helps You
Our insurance eligibility verification staff adapts to your existing systems and processes. We work within your schedule, protocols, and EHR, just like an in-house staff member would, but from a fully remote setting.
Instant Compatibility
We log in to your EHR; no setup required. Our team of trained professionals follows your practice’s protocols and standard operating procedures with utmost dedication.
Thorough Supervision
Every insurance eligibility verification coordinator is supported by three or more layers of supervision to ensure clinical accuracy and alignment with your facility’s workflows.
CPT-Specific Benefits
A proprietary CPT-specific benefit report is generated and uploaded directly to your EHR, for clear visibility of coverage, limitations, requirements
Daily Productivity Reports
You receive daily productivity reports along with real-time alerts at every stage of the process, helping you stay informed, in control, and ready to act quickly.
Completely Secure
All data is secured through HIPAA-compliant systems, with strict access controls and audit trails in place to protect patient privacy and ensure regulatory compliance.
Specialized Solutions For 60+ Specialties And EHRs
Delivering expert medical billing services and healthcare staffing solutions across 60+
specialties.
DrCatalyst’s team moves quickly and the results are showing much, much faster than our previous credentialing company. We are extremely pleased; keep up the good work!
Our DrCatalyst team has been such a great help! Our credentialing is running smoothly especially since this is all new to us.
Jennifer Perez
Office Manager NeoKids LLC
Louisiana
We’ve never had this quality of work before. The DrCatalyst team is extremely good; they are doing a fabulous job. They are quick and on the top of everything.
Dr. Hargrove
Medical Director Clinica Medica General
California
DrCatalyst’s excellent communication with our front office staff and practice managers ensures everything runs smoothly.
Patrick Caplis
CEO, Solvera Health
Illinois
DrCatalyst has never let me down. It’s a great partnership opportunity.
Tushar Patel
MD Children’s Medical Centers of Fresno
California
We have grown to five DrCatalyst staff within six months – all members have become a part of our team in such a positive way, our staff enjoys communicating with them. Thank you all for all you do!!
Michelle Castilleja
Clinical Director Northeast Endocrinology
Texas
The payment posting and A/R team at DrCatalyst have been doing an amazing job with their tasks. We are very happy with their work ethic and appreciate what they have done and continue to do for our practice.
Vikram Shah
Billing Specialist, Children’s Medical Clinic
California
Your claim resolution and diligence allowed for a large number of claims to be worked and removed from Aging AR with receipt of payment for these services. We could not have done this without you!!!
Heather Richmond-Munyon
Practice Manager Milan Eye Center
Georgia
I can honestly say the teamwork exhibited by DrCatalyst is unmatched by any other billing team I have worked with in the past twenty-five plus years.
Diane Johnson
DPM, Owner
Pennsylvania
We are very pleased with the coding work you all have been doing. We sincerely appreciate all of their assistance and knowledge.
Felix Sigal
DPM Owner LA Foot Pain
California
I appreciate DrCatalyst for helping us transfer records! You are helping our WP location staff tremendously!
Tammy Ortiz
Director of Billing Global Neuro and Spine Institute
Florida
We’ve never had this quality of work before. The DrCatalyst team is extremely good; they are doing a fabulous job. They are quick and on the top of everything.
Dr. Hargrove
Medical Director Clinica Medica General
California
DrCatalyst has effectively addressed our space and staffing needs, providing experts in scribing, eligibility, prior authorizations, and revenue cycle management. Their excellent communication with our front office staff and practice managers ensures everything runs smoothly.
Patrick Caplis
CEO, Solvera Health
Illinois
DrCatalyst’s contribution has made a very positive impact on our practice. I would highly recommend DrCatalyst for RCM services.
Rene Steven
Practice Administrator
Wisconsin
DrCatalyst has a dedicated team assisting your account, a partnership highly recommended for your RCM requirements. They are professional, responsive, and always consistent with providing support and feedback in a timely manner.
Zacharia Facaros
DPM Owner
Pennsylvania
We highly recommend DrCatalyst to organizations and independent physicians, particularly those in specialized fields or small practices.
Patrick Caplis
CEO Solvera Health
Illinois
DrCatalyst: The Only One That Does It All, Flawlessly.
We give your business the edge with unmatched features working seamlessly together, delivering precision and efficiency like no one else.
Written protocolsLiability Insurance3+ Levels of Supervision5 point IT protectionHIPAA BAA includedComprehensive reports & KPIs3rd party HIPAA compliance certification
A virtual benefits administrator is a remote specialist who verifies a patient’s insurance eligibility and benefits before their appointment. They confirm coverage, copays, deductibles, and prior authorization needs using your practice’s systems, just like an in-house staff member, but virtually.
Our remote specialists plug directly into your workflow. They access your EHR or practice management software securely, verify insurance details, and send updates back to your front desk or billing team, without changing how your staff operates.
Our virtual eligibility coordinator services include insurance eligibility verification, benefits breakdown for scheduled services, prior authorization checks, and secure documentation of copays, deductibles, and coverage limits. Everything is handled before the patient arrives.
Yes. DrCatalyst uses HIPAA-compliant infrastructure, encrypted systems, and strict access protocols. Our virtual benefits administrators and remote eligibility specialists are fully trained in handling PHI and adhering to data security best practices.
Yes, our virtual eligibility specialists are experienced in working with a wide range of specialties and insurance payers.