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Insurance Eligibility Verification by Aayur Solutions
Insurance Eligibility Verification by Aayur Solutions
Optimize your healthcare operations today!
Insurance eligibility verification is the gateway to a clean claim and a healthy revenue cycle. At Aayur Solutions, we make every verification quick, precise, and fully documented, so your front office can quote reliable estimates and your billing team can submit claims with confidence. By confirming coverage details—before the patient is seen—we help your organization reduce eligibility‑related denials, shorten reimbursement cycles, and improve patient satisfaction.
Quick and accurate eligibility checks across all major payers
Fewer denied claims through precise, real‑time data capture
Seamless hand off between registration, clinical, and billing workflows
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Outsourcing your insurance verification services to Aayur Solutions gives you an experienced partner who contacts payers, navigates portals, and reconciles plan details on your behalf. We verify: 1. Active policy status and coverage dates 2. Co‑payments, co‑insurance, and deductibles 3. In‑network versus out‑of‑network benefits 4. Service‑specific limits and exclusions 5. Authorizations required for scheduled procedures Verified data flows securely into your EHR or practice‑management system through standardized data exchanges or easy file uploads, ensuring that everyone on your team works from the same, accurate information.
Insurance Eligibility Verification
Our specialists run real time eligibility checks and document policy details, financial responsibilities, and scheduling flags in an easy to read format.
Coverage and Benefits Review
We provide a complete benefits snapshot—visit caps, therapy limits, preventive care allowances—so you can counsel patients up front.
Coordination of Benefits (COB) Management
When multiple plans exist, we identify the primary and secondary carriers, preventing COB related payment delays.
Policy Status Monitoring
Terminated or inactive policies are flagged before service, allowing you to reschedule or obtain alternate payment options.
Insurance Record Updates
We correct mismatched subscriber IDs or plan codes in your system, saving your team from time consuming rework.
Direct Payer Communication
For unclear eligibility responses, our team calls the payer directly, documents the conversation, and updates the account
Solutions for the Medical Industry
Detection of inactive or incorrect insurance policies
Custom reports highlighting eligibility trends and gaps
Utilization of payer specific rules for eligibility checks
Audit ready logs of every eligibility transaction
Verification of covered services and patient liabilities
Real time alerts for policy changes or coverage lapses
A/R follow up based on confirmed eligibility status
Identification of procedures needing prior authorization
Charge capture validated against plan benefits
Documentation support for regulatory compliance audits
Primary and secondary payer sequencing through COB checks
Consistent verification processes across all specialties
Denial prevention by front end eligibility validation
Secure data exchange compliant with HIPAA standards
Timely submission of authorizations
Reduced billing turnaround through verified information
Benefits of Revenue Cycle Outsourcing
Dramatically fewer eligibility related denials and write offs
Reduced manual workload for registration and billing teams
Extended hour support and next day turnaround on routine checks
Lower operational costs without sacrificing compliance or quality
Continuous process improvement driven by eligibility analytics
Transparent patient communication through accurate up front estimates
Frequently Asked Questions
Start Your Journey
Want to explore how our services can benefit you? Let’s chat! Schedule a call today.