• 825-488-9113
  • Starting at as low as 2.99%
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Fast, Accurate Eligibility & Benefits Verification Services

Prevent denials and delays—verify patient coverage before the visit.
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Real-Time Eligibility and Benefit Verification​

We verify insurance and benefits in real-time to prevent billing issues. Our team confirms coverage, copays, and deductibles before the visit, reducing denials and delays. With accurate info upfront, you can bill confidently and get paid faster.

Why It Matters

Reduces claim denials and rework
Confirms coverage, copays, and deductibles in advance
Speeds up the billing and payment process
Improves patient experience and financial transparency
Accurate eligibility checks mean fewer surprises—for you and your patients.

Insurance Verification & Prior Authorization Services

We confirm insurance coverage and handle prior authorizations to prevent delays in care. Our team ensures all approvals are secured before treatment begins.

Coverage

Ensuring timely verification of patient coverage with all payer types, keeping patients’ accounts updated.

Benefits Options

We ensure patient information is updated, including payable benefits, deductibles and policy status.

Referral Authorizations

Identifying and documenting requirements of authorization or a referral to prevent revenue loss.

Accurate Documentation

Adequate and accurate documentation and recording of all benefits accurately to support seamless billing.

Deductibles, Co-pays, and Co-insurance

Ensuring the accurate estimate for patient deductibles amount, amount met, and co-pay or co-insurance.

Exceptional Workflow

Enhance patient outcomes and increase revenue with our optimized and efficient workflows.

How Our Services Help

Fewer Denials

Insurance errors are one of the leading causes of claim rejections. We verify all patient benefits before the appointment to catch issues early. Our team checks plan status, copays, deductibles, and authorization needs. By addressing these before service, we reduce claim denials and rework. You get faster payments and fewer billing headaches. It’s a simple way to improve revenue and reduce back-end cleanup.
  • Call us now : 825-488-9113

Faster Approvals

Waiting on prior authorizations can delay patient care and disrupt your schedule. We handle all pre-authorization requests quickly and accurately—no missed paperwork, no wasted time. Our team communicates directly with payers to get faster responses and track every request. This helps your practice stay on schedule and keeps patients satisfied. You get approvals without the follow-up burden. We make the process smooth, so nothing slows you down.
  • Call us now : 825-488-9113

Our Complete Eligibility Verification Workflow

We handle every step of the verification process—accurately and on time. From insurance checks to pre-authorizations, we ensure nothing gets missed.

Patient Information Collection

We gather accurate demographic and insurance data before the appointment to avoid entry errors.

Real-Time Insurance Verification

We verify plan status, copays, deductibles, and active coverage through payer portals or direct calls.

Authorization Requirement Check

Our team checks for prior authorization needs and initiates the process to prevent treatment delays.

Reporting & Communication

We deliver clear, timely verification reports so your front desk can act with confidence and accuracy.

Want To Learn More!

Get to know how Robotic Process Automation is changing the practice verticals.

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What our clients say?

“North RCM helped us cut claim denials by half. Their team is responsive, knowledgeable, and easy to work with.”
Dr. Sarah Malik, Internal Medicine
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EHRs we work with

Medical billing company that knows the features and workaround of your EHR system. At North RCM we work with your existing EHR.

EHRs we support

Eligibility & Benefits Verification FAQ’s

What insurance details do you verify?
We confirm coverage status, copays, deductibles, plan limits, eligibility dates, and any prior authorization requirements.
We offer same-day and next-day verification, depending on appointment urgency. Most verifications are completed within 24 hours.
Yes, we work with Medicare, Medicaid, commercial insurance, and out-of-network plans across all 50 states.
Absolutely. We identify when prior authorization is needed and handle the full submission and follow-up process with the payer.

Why North RCM

All the information you’ll ever need to run a successful healthcare organization.

Case Study

Learn how practices increased revenue, enhanced operational efficiency, and reduced costs.

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Infography

Get to know how Robotic Process Automation is changing the practice verticals.

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Blog

Explore the latest healthcare industry insights based on analysis and opinions of experts.

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  • Get paid more and Faster with
    North RCM 24/7 medical
    billing services.
  • North RCM is a medical
    billing company that works with
    your EHR.
  • Proud to offer the highest quality
    service in the industry with a
    99.% retention rate.

About us

North RCM is a leading medical billing services provider for healthcare providers, independent practices, physician groups, and hospitals.

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Specialties:

ERM Billing

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