Eligibility Verification & Prior-Authorization

At REVVSOURCE, we understand the importance of a comprehensive eligibility/benefits and prior-authorization verification process to help providers provide prompt, accurate, and thorough information about patient coverage. Our verification and prior-authorization Service allows healthcare providers to make informed decisions based on a patient's eligibility for the type of care provided, prescribed medications, and other diagnosis, particularly for elective and non-emergency procedures help you make decisions.

We feel that the lack of sufficient checks and balances in this process can result in significant income leakage via denials and delayed payments. To avoid this, we offer our customers with information on the patient's eligibility prior to the encounter. This data assists healthcare practitioners in recommending a course of treatment that is consistent with the breadth of coverage, classification of out-of-network benefits, and resulting payment obligations.

Verifying the patient's eligibility and prior authorizations requirements is handled by our knowledgeable team of professionals. They are skilled at calling individual payers and checking websites to see if the patient is covered and receiving benefits and the services rendered requires a prior authorization. We provide speedy turnaround for our clients and a standardised eligibility verification and admissions process.