Benefits of eligibility & demographics verification by IMBS
Prevent day-of reschedules
Early checks catch terminations, missing referrals, COB conflicts, and auth gaps—then we alert your team three days before the appointment.
Secondary & assistance coverage
We verify secondary benefits and confirm copay-assistance is active before estimating responsibility—closing gaps that derail reimbursement.
Patient responsibility clarity
We calculate copays/coinsurance/OOP against benefits and CMS fee schedules, so staff can set expectations and reduce confusion at check-in.
Authorization alignment
Eligibility reports explicitly confirm an authorization is on file with the same payer, with dose and approved-visit tracking to avoid denials.
Our verification workflow lets you concentrate on care
Industry Standard tools that drive performance
Benefits & coverage check
Active coverage, covered services, financials, and visit counts verified in advance-then shared with onsite teams for action.
COB & secondary validation
We confirm primacy, capture secondary benefits, and align both to prevent rejections and balance errors.
Copay assistance confirmation
Assistance programs are checked for active status before we calculate patient responsibility, reducing out-of-pocket surprises.
Authorization linkage
We cross-check that the auth on file matches the payer on eligibility, with dose and visit-count validation to prevent denials.
Patient-responsibility estimator
Estimations use benefits and CMS fee schedules for a realistic figure at pre-registration.
Scheduled report cadence
Eligibility reports arrive one day prior and day-of, ensuring late adds don’t slip through.
