BillingHawk verifies patient insurance coverage before every appointment — checking active coverage, deductibles, copays, and prior authorization requirements so your practice never submits a claim for ineligible coverage.
Eligibility errors are the #1 cause of front-end claim denials. When a patient's coverage is terminated, their deductible hasn't been met, or a prior authorization wasn't obtained, every claim for that encounter will be denied — and collecting after the fact is extremely difficult.
BillingHawk verifies every patient's eligibility before their appointment, confirms prior authorization requirements, and communicates patient responsibility to your front desk — preventing eligibility-related denials before they happen.
With verification completed before every visit, eligibility-related denials drop to near zero.
Deductible and copay information sent to your front desk before the appointment for patient collections.
We obtain prior authorizations for all scheduled procedures requiring PA — before the procedure date.
Real-time 270/271 eligibility checks with Medicare, Medicaid, and all major commercial payers.
Coordination of benefits verified for patients with multiple insurance plans.
Your next-day schedule verified every afternoon. Morning arrivals verified at check-in.
Get a free eligibility audit. We'll show how many of your current denials are eligibility-related and preventable.
We verify eligibility 24-48 hours before each scheduled appointment. For same-day or urgent appointments, we verify within hours.
Active coverage status, deductible (met/remaining), copay/coinsurance amounts, in-network/out-of-network benefits, referral requirements, and prior authorization requirements.
Yes. We submit PA requests, track approval status, and alert your staff if a PA is denied or requires additional clinical documentation.
We identify coverage changes and notify your front desk before the appointment so updated insurance information can be collected.
Yes. For patients with secondary coverage, we verify both plans and determine coordination of benefits order before the visit.
We'll analyze your denial data and show how many are eligibility-related and preventable.