Insurance Verification & Pre-Authorization

Failure to verify insurance eligibility and secure prior authorizations is one of the most common—and most preventable—causes of claim denials. If your team isn’t confirming coverage before every visit, you’re setting your revenue cycle up for avoidable losses.

CareSync RCM handles insurance verification and prior authorization as a front-end safeguard for your billing process.

What We Verify Before Every Appointment

• Active coverage and plan details
• Co-pay, deductible, and co-insurance amounts
• Referral and prior authorization requirements
• Out-of-network benefit verification
• Coordination of benefits for dual-coverage patients

Why This Matters

When eligibility is confirmed upfront, your practice avoids surprise denials, patient billing disputes, and write-offs from services rendered without valid coverage.