What we verify

Every detail your practice needs before treatment.

— 01

Eligibility

Active status, coverage dates, plan type, and group information confirmed before every appointment.

— 02

Benefits

Coverage percentages, deductibles, annual maximums, copays, and out-of-pocket details.

— 03

Frequencies & limits

Service-specific limits, waiting periods, and timing rules — when patients are eligible and when they aren't.

— 04

Pre-authorizations

Pre-auth requirements identified and flagged. Submission support available for complex cases.

— 05

Coordination of benefits

Primary and secondary insurance identification using Birthday Rule and standard COB protocols.

— 06

Procedure-specific coverage

Coverage status for the specific CPT/CDT codes scheduled. No surprises mid-treatment.

Built for

Specialty-trained, not generic.

i

Dental Practices

Built first for small and medium dental practices. Deep familiarity with CDT codes, frequency rules, missing tooth clauses, ortho coverage, and major-procedure pre-authorizations.

  • CDT code coverage
  • Frequency limits
  • Ortho benefits
  • Periodontal rules
  • Missing tooth clause
  • Annual maximum tracking
Available now
ii

Chiropractic

Specialized verification for chiropractic practices — including medical necessity documentation, maintenance care rules, and visit limit tracking.

  • Visit limits per year
  • Medical necessity rules
  • Prior authorizations
  • Maintenance care policies
  • X-ray coverage
  • Therapeutic services
Coming soon
iii

Physical Therapy

PT-specific verification: visit caps, therapy unit limits, ABN requirements, plan-of-care recertification timing, and Medicare therapy thresholds.

  • Visit caps
  • Therapy unit limits
  • ABN requirements
  • Plan-of-care rules
  • Medicare KX modifier
  • Cap exception process
Coming soon
iv

Mental Health

Verification for behavioral health practices — including parity rules, telehealth coverage, EAP integration, and session limit tracking.

  • Session limits
  • Telehealth coverage
  • Parity rules
  • EAP integration
  • Substance use coverage
  • Group therapy benefits
Coming soon
How it works

Four steps. Predictable every day.

i

Quick onboarding

We start with a 7-day no-cost trial. You provide read-only PMS access, a Business Associate Agreement is signed, and we run alongside your team to prove fit.

ii

Daily verification

Each day, we pull your next-day appointment schedule, verify every patient through carrier portals or phone, and document complete coverage details.

iii

Clean reports delivered

Reports arrive in your inbox or PMS before your morning huddle. Each is flagged green (clear), yellow (needs attention), or red (requires action).

iv

Quality auditing

10% of reports randomly audited by our quality team. We track accuracy weekly, surface trends monthly, and review with you quarterly.

Investment

Simple, transparent pricing.

Per-Verification

Best for practices with variable patient volume

$4
per completed verification
  • No setup fee
  • No monthly minimum
  • Volume discount above 500/mo
  • Pay only for what's verified
  • Daily reports included
  • Quality audit included

Flat Monthly

Best value for practices with steady volume

$2,000
per month, up to 600 verifications
  • Save up to $400/mo vs per-verification
  • Same-day rush support
  • Dedicated specialist
  • Weekly business reports
  • Quarterly business reviews
  • Priority support

Custom Enterprise

For multi-location practices and DSOs

Custom
tailored to your operations
  • Multi-location support
  • Custom SLA agreements
  • API / PMS integration
  • Dedicated account manager
  • Custom reporting
  • Priority onboarding

7-day no-cost trial available for all plans. Cancel anytime with 30-day notice.

Ready to see how we work?

Book a 15-minute conversation. We'll walk through your current verification process and show you a sample report.

Book a Demo