Eligibility Verification and Pre-Authorization: Prevent Delayed or Denied Payments
GoBill's health insurance preauthorization ensures real-time prior eligibility and authorization, speed-to-care, and improved revenue collection.
Insurance verification and pre-authorization is the single most important step in speeding up claim submission, receiving faster reimbursements, and reducing the chances of denial in the medical billing process.
The Authorization Bottleneck
Medical practices complete an average of 41 prior authorizations per physician per week, consuming approximately 16 hours of staff time. 94% of physicians report that prior authorization delays patient care, and 80% say it can lead to treatment abandonment. GoBill's pre-authorization service eliminates this bottleneck by handling the entire process — from verifying requirements and submitting requests to tracking status and expediting approvals. Our clients see authorization processing times reduced by up to 60%.
GoBill's Verification & Authorization Workflow
Our team starts the verification process 48 hours before every scheduled appointment, confirming patient eligibility, coverage details, co-pays, deductibles, and authorization requirements. We maintain a comprehensive database of payer-specific authorization requirements, ensuring that nothing is missed and every submission is complete on the first attempt.
From Verification to Faster Reimbursement
Eligibility-related denials account for approximately 27% of all claim rejections. Our real-time verification process catches these issues before they result in denied claims, saving weeks of rework and thousands in lost revenue.
What's Included
Explore the details of our pre-authorization & eligibility verification services.
Instant eligibility checks confirm patient coverage, co-pays, deductibles, and benefits before the visit. We verify coverage 48 hours before scheduled appointments to allow time to resolve any issues.
We handle the entire prior auth process from request to approval, including electronic submission, status tracking, and peer-to-peer reviews when required. Our complete first-submission rate exceeds 95%.
Detailed benefits breakdown so patients understand their financial responsibility upfront, reducing patient balance collection issues and improving satisfaction scores.
Our system monitors the status of every pending authorization and triggers follow-up actions at defined intervals. No authorization falls through the cracks, and critical care is never delayed.
Verification Impact
Our pre-authorization and eligibility verification service delivers significant improvements in claim accuracy and payment speed:
Eligibility-related denials eliminated by 27%
Authorization processing time reduced by up to 60%
First-submission authorization rate above 95%
Speed-to-care improved significantly
Revenue collection accelerated
The Benefits of Our Pre-Authorization & Eligibility Verification
Why healthcare practices choose GoBill for their pre-authorization & eligibility verification needs.
Get More Claims Approved
Enhance your workflow with GoBill. Our comprehensive services help you streamline your workflow, reducing administrative burdens and allowing you to focus on patient care.
Get More Claims Approved
Enhance your workflow with GoBill. Our health insurance preauthorization ensures real-time eligibility verification and improved revenue collection.