Eligibility & Insurance

Verify Coverage Before Every Visit and Avoid Costly Denials

MeDco RCM checks patient eligibility and benefits before appointments, so your team knows exactly what is covered, what the patient owes and what needs authorization.

Verifying patient insurance eligibility before a visit

Eligibility & Benefits Verification Services

We verify coverage for scheduled patients ahead of time and update your system with clear, usable details.

Active Coverage Checks

We confirm the patient’s plan is active on the date of service.

Benefit Details

Deductibles, co-pays, co-insurance and visit limits are documented for your team.

Primary & Secondary Coverage

Coordination of benefits is confirmed to bill the right payer first.

Authorization Flags

Services that require prior authorization or referrals are flagged early.

Patient Responsibility Estimates

Estimated patient balances help your front desk collect at check-in.

Real-Time Updates

Verification results are updated in your practice management system before the visit.

Stop Denials Before They Start

Eligibility errors are one of the most preventable causes of claim denials. Verifying coverage ahead of every visit keeps claims clean and protects your practice from unpaid services.

Insurance verification preventing claim denials
Explaining insurance benefits clearly to a patient

Clear Answers for Patients

When patients know their coverage and expected costs up front, they are more likely to pay on time. Accurate verification improves both collections and patient satisfaction.

Our Medical Billing Process

Patient Registration

We capture complete, accurate patient demographics and insurance details at intake, so every claim starts with clean data.

We confirm coverage, benefits, and eligibility before the visit to prevent avoidable denials and surprise patient balances.

Insurance Verification

Appointment Scheduling

We manage scheduling and secure any required prior authorizations so each service meets payer requirements.

Certified coders assign accurate ICD-10, CPT, and HCPCS codes that keep claims compliant and fully reimbursable.

Medical Coding

Charge Entry

Charges and coded services are entered into your billing system carefully, reducing errors and claim rejections.

Clean claims are scrubbed and submitted electronically to payers for faster processing and payment.

Claim Submission

Claim Adjudication

We track every claim through payer review and act quickly on any request or issue that could delay payment.

Insurance and patient payments are posted and reconciled accurately, giving you a clear, up-to-date financial picture.

Payment Posting

Denial Management

Denied or rejected claims are analyzed, corrected, and resubmitted promptly to recover the revenue you have earned.

We send clear, easy-to-read patient statements that help patients understand their balance and pay on time.

Patient Billing

Financial Reporting

Regular reports show collections, denials, A/R, and other key metrics so you can make confident business decisions.

Specialties We Support

Cardiology

Dental Billing

Gastroenterology

Neurology

Gynecology

Immunology

Internal Medicine

Ophthalmology

Orthopedics

Pain Management

Pathology

Pediatrics

Psychiatry

Podiatry

Urgent Care

Radiology

Boost Your Practice Revenue –
Contact Us Today

Simplify your medical billing and get paid faster with MeDco RCM. Reach out today and let our specialists handle your insurance verification so you can stay focused on patient care.

Boost your practice revenue with MeDco RCM