Eligibility Verification
Coverage confirmed before every visit.
Insurance eligibility and benefits are verified ahead of each visit, including copays, deductibles and coverage limits, so patients and staff know what to expect.
The challenge
Eligibility issues are the most preventable denials.
- Inactive or changed coverage discovered after the claim is denied
- Patients surprised by copays and deductibles
- Coordination-of-benefits problems that stall payment
How Zsquare solves it
Verification built into your schedule
We verify eligibility and benefits ahead of each appointment, including copays, deductibles, coinsurance and visit limits, and hand your front desk a clear summary so check-in is quick and accurate.
Our process
How it works, step by step.
- 01
Schedule review
Upcoming appointments are pulled ahead of time.
- 02
Benefits check
Coverage, plan details and patient responsibility are confirmed.
- 03
Issue resolution
Inactive coverage or COB issues are flagged for follow-up.
- 04
Front-desk handoff
Your team receives a concise summary for each visit.
- 05
Reporting
Verification results and coverage issues are reported before each clinic day.
Benefits
What changes for your practice.
Fewer denials
Eligibility problems are solved before the visit.
Better patient experience
Patients know what they'll owe upfront.
Higher point-of-service collections
Accurate estimates make collecting at check-in easier.
Cleaner claims
Correct payer and plan details from the start.
Specialties
Eligibility Verification for every specialty we serve.
FAQ
Eligibility Verification: common questions.
Straight answers about how we work. Don't see your question? We're happy to talk it through.
Book a demo
See how much revenue you're leaving on the table.
Book a demo with a revenue cycle specialist. We'll walk through your numbers and show you exactly where Zsquare can help.
- 30 minutes, at a time that suits you
- Live walkthrough of reporting and workflow
- A tailored estimate for your practice
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