Insurance Eligibility Verification and Dental Insurance Verification

Comprehensive Verifications

Reliable Dental and Medical Insurance Verifications

A proactive eligibility verification process is the first defense against claim denials and payment issues. At REVV-Systems, we provide robust eligibility verification designed to simplify the intake process and minimize financial risk. By verifying each patient’s insurance details before their appointment, we help your practice reduce denied claims, prevent out-of-pocket disputes, and ensure transparent communication with patients about their benefits.


What We Offer:
  • Real-Time Insurance Verification: We verify details such as coverage type, co-pays, deductibles, frequency limitations, and any plan-specific restrictions on procedures. This real-time confirmation ensures that the treatment you provide aligns with the patient’s coverage, minimizing surprises at the time of billing.
  • Insurance Pre-Authorization Management: For procedures requiring pre-authorization, we handle the entire process by coordinating directly with payers, saving you time and resources. We help you secure authorizations before appointments, reducing treatment delays and lowering the risk of claim denials.
  • Customized Alerts and Notifications: With alerts for specific cases, such as patients with expired coverage or changes in benefits, we help you address potential issues proactively. These customized alerts prevent time-intensive rework and help your team manage patient communication efficiently.
Key Performance Indicators (KPIs):
  • 98% Accuracy in Verification:Ensures coverage information is correct, leading to smoother billing and claim submission processes.
  • 95% First-Time Success Rate for Claims:Directly reduces the number of denials due to incorrect eligibility data.
  • 20% Reduction in AR Days: By addressing eligibility issues upfront, your practice experiences quicker payment cycles, improving cash flow and reducing accounts receivable days.

Frequently Asked Questions (FAQ's)

Verifications are typically completed 2 days in advance to ensure there is sufficient time to address any issues that may arise and to provide a smooth service experience for all parties involved.

No, we do not charge any additional fees for same-day verifications. We understand the urgency that can sometimes be involved and strive to accommodate such requests promptly and efficiently.

We are equipped to handle verifications for both dental and medical insurance. Our expert medical billing department can verify health insurance, per patient a la carte. Ask for details. We will ensure that all aspects of your patient's coverage are thoroughly checked and confirmed, allowing for a comprehensive understanding of their benefits and entitlements.