Avoid billing surprises. Get fast, secure, and accurate insurance eligibility verification for medical and dental practices fully HIPAA-compliant and integrated with all major EMRs.
Insurance eligibility verification is the first and most important step in ensuring timely reimbursements and satisfied patients. At HelloMDs, we offer real-time medical eligibility verification, confirm active coverage, and streamline your patient registration process steps. From verifying dental insurance to checking for prior authorizations, our team handles every detail so you don’t have to. Backed by EMR integration and HIPAA compliance, we reduce the impact on claim denials and optimize front-desk efficiency.
We ensure every insurance verification is secure and up-to-date using real-time systems that meet all HIPAA compliance standards.
From routine exams to specialized procedures, our team verifies insurance coverage across both medical and dental specialties with accuracy.
We don’t just verify eligibility we also flag and initiate prior authorizations when needed, preventing costly delays in care.
By confirming coverage and benefits before services, we help eliminate billing errors, denials, and last-minute surprises for your patients.
Our experienced, U.S-based staff processes verifications quickly and professionally often within just one business day.
We integrate seamlessly with your existing systems, from Athenahealth to Kareo, ensuring smooth data flow and reduced administrative burden.
We start with gathering accurate patient demographics, insurance cards, and plan information either manually or via your EMR. This establishes a streamlined foundation for accurate insurance eligibility verification.
Using advanced insurance eligibility verification software, we access payer portals and clearinghouses to confirm active coverage, copays, deductibles, and plan exclusions.
Whether it’s medical eligibility verification or verifying dental insurance, we generate detailed reports including plan coverage levels, service-specific benefits, and prior authorization requirements.
If the patient’s plan requires authorization, we immediately alert your team—or initiate the process ourselves so treatment plans aren’t delayed by missing approvals.
We upload confirmed insurance eligibility results directly to your EMR and notify your staff so they’re fully informed before the patient visit.
We offer weekly audits to keep your data fresh and accurate, helping prevent denials caused by outdated or incomplete insurance information.
Benefits | What It Means for You |
---|---|
Fewer Claim Denials | Catch coverage issues before services are rendered. |
Improved Patient Experience | Patients understand costs upfront no surprises. |
Boost Intake Speed | Fewer front-desk delays, smoother check-ins. |
HIPAA-Compliant Security | Your patient data stays secure and protected. |
Supports Dental & Medical | From teeth cleanings to MRIs, we handle all plans. |
Works with All EMRs | No extra setup. We plug into your workflow. |
Every review tells a story. The insights and experiences shared by our clients drive us to improve, innovate, and deliver even better solutions. Here’s what healthcare professionals are saying about working with us.
We used to deal with claim rejections weekly. HelloMDs streamlined our insurance eligibility verification process and restored cash flow.
Want to avoid denials and streamline your front desk? Let HelloMDs optimize your insurance eligibility verification process today.
It’s confirming if a patient has active insurance and what services are covered before their visit to prevent denials and confusion.
Our turnaround is 24–48 hours. For most payers, we offer real-time insurance eligibility verification using payer portals and clearinghouses.
Eligibility verification confirms coverage. Prior authorization checks if the insurer must approve the procedure before it's performed.
Yes. We meet all HIPAA compliance insurance verification standards, including secure data handling and encrypted communications.
Absolutely. We offer state-specific support to verify Medi-Cal coverage and other government or commercial insurance plans.
Yes, we specialize in both medical eligibility checks and dental insurance verification, including procedure-specific benefits.
Yes. A verified patient is a clean claim. We drastically reduce the impact on claim denials by checking every detail upfront.