Eligibility

Medical Team

Overview

Verify Patient Eligibility Before the Visit — Prevent Claim Denials.

We handle insurance eligibility checks upfront so you can focus on care, not collections. Accurate, fast, and fully HIPAA-compliant.

Eligibility verification is the process of confirming a patient's insurance coverage before services are provided. It helps ensure that the provider will be reimbursed for the services rendered and that patients understand their financial responsibilities upfront.

Our dedicated team verifies patient insurance details, including plan coverage, co-pays, deductibles, and prior authorization requirements. By identifying potential issues early, we minimize claim rejections and reduce delays in payment. With real-time verification tools and payer integrations, we streamline your front-office workflow, improve patient satisfaction, and support a more predictable revenue cycle.

Why Eligibility Checks Matter

Fewer Denials

Identifying insurance issues in advance helps prevent claim rejections, saving time and reducing the administrative burden of appeals and re-submissions.

Faster Payments

Verifying eligibility upfront accelerates the billing process, ensuring quicker reimbursements and a more efficient revenue cycle.

Happier Patients

Clear insurance verification helps patients understand their financial responsibility before treatment, improving satisfaction and reducing billing confusion later.

Stay Compliant

Proper eligibility checks ensure that services align with payer rules and policies, reducing the risk of non-compliance and audit penalties.

Better Cash Flow

By confirming active coverage and benefits, providers reduce unpaid balances, avoid unnecessary write-offs, and improve overall financial performance.

Reduces Admin Overhead

Eligibility checks minimize back-and-forth with patients and payers, reducing time spent on manual corrections, follow-ups, and claim resubmissions.

Let’s Connect

Ready to smooth your billing process and maximize your revenue? Contact us today to learn how MDB can help your practice thrive.

At MDB, we make billing simple, efficient, and stress-free—so you can focus on your patients!