Creating Better RCM Process Operations By Robotic Process Automation. Click Here

Patient Eligibility Verification

Patient Eligibility verification: You need a team to step up to the plate !

Checking patient's eligibility prior is essential to avoid denied claims. BillingParadise offers medical practices a thorough and efficient, insurance eligibility verification process. We closely scrutinize pertinent details that are used to create a claim such as

  • Name of insurance carrier and policy
  • Previous balance of the patient
  • The eligibility status: Active or inactive
  • Whether the patient is in the providers network
  • Insurance coverage
  • Co-pays and deductibles


Quick Inquiry Form

Find your Practice's Revenue leak in just few clicks

If you’re struggling to get more revenue, the answer might just lie in these FREE reports

Free Revenue Leak Analysis Tool

To save your time, and to get quick response from insurance carriers, the team at BillingParadise offer 24/7, insurance eligibility verification services.

BillingParadise logs into the EMRs of the doctors clinic two days prior to a visit, to get information such as patient's name, insurance carrier name, policy covered and patient's balance if any.

BillingParadise then logs in to the insurance carriers website and checks through information such as eligibility status whether active or inactive, whether it is a first time visit or not, the effective date and the termination date of the insurance plan, co-pays which differ for a primary and a speciality encounter, deductibles, and whether the provider, primary or specialist is in the network or out of the network of insurance carriers.

Thus if there are any issues with the patient's insurance, balance to be paid or co-pays for a primary or specialist visit, BillingParadise sends the detailed information to the doctor and the patient if required.

Most of the billing teams or your staff would be following the same steps but do they check these critical points ?

  • The expert checks whether the service is pre-authorised, as for some treatments the authorisation time shuts down within thirty days. Therefore the team submits the claims before deadline.
  • Missing referral from the primary doctor in case of specialist visit while documenting your patient's record can lead to delays in reimbursements from the payer. Thus each and every detail is documented by BillingParadise.
  • Patients who fall under COBRA plan for insurance, have to pay the policy principle every month in order to maintain their coverage. BillingParadise keeps the doctor updated about such patient's coverage and informs the patients if required by the client.
  • BillingParadise checks whether the patient has denied history of claims due to lack of progress in recovery.
  • BillingParadise checks whether the healthcare coverage is limited only for specific or regional area.

No one likes surprises, neither your patients from you nor you from the insurance carriers. So BillingParadise ensures that you claims are never again denied due to a shoddy, unprofessional or hurried insurance verification process.

Delivering 100s of eligibility checks a day! Talk to us to know more.


Click here to know more

Specialty Focused RCM Services

We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks

Struggling To Bill With Your EHR/EMR?

At BillingParadise we know the features and workarounds of your EHR system. All our RCM tools are integrated with the system you use.


eClinicalWorks Medical Billing Services
NextGen Medical Billing Services
AdvancedMD Medical Billing Services
Allscripts Medical Billing Services
AmazingCharts Medical Billing Services
GE Centricity Medical Billing Services
EMDs Medical Billing Services
Practicefusion Medical Billing Services
GreenWay Medical Billing Services
Kareo Medical Billing Services
WebDMEMR Medical Billing Services
FreeMED Medical Billing Services

Service Suite Tailored To Your Needs

Skilled Personnel

graph with increase

BillingParadise employs trained personnel to manage your claim denials. All claim reworks are done in the fastest way and are always inspected by our in house quality auditors before resubmission.

Foolproof System

a person achieved something

At BillingParadise we have designed our Denial Management Operation workflow to be streamlined and highly productive. We ensure that your denials are reworked correctly and on time.

State-of-the-art Tech

ideal thinking by two person

BillingParadise provides you the most optimized and cost effective software.The DenialBridge is a turnkey software solution. Easily deployable, seamlessly scalable & can be maintained & updated.

Hire one/combination of services/all, we at BillingParadise will meet your needs 100%



Get paid Three times faster with our 24/7 medical billing services.

Work with medical billers who understand your EHR's billing process backwards and forwards

Avail Free RCM Audit Worth $2,000! Check out 19 different KPI reports that stops your cash flow.