Eligibility & Benefits Verification Services

Verify Coverage Upfront. Reduce Denials. Get Paid Faster.

Unverified insurance coverage is one of the leading causes of denied claims and delayed reimbursements. Our eligibility & benefits verification service ensures every patient’s insurance is active, accurate, and complete before care is delivered.

Real-time eligibility verification integrated with EHR and payer portals
Detailed benefit breakdown including copays, deductibles, co-insurance, and coverage limits
Prior authorization confirmation for services requiring pre-approval
Transparent insurance data for staff at the point of care

How Our Process Works

Our eligibility & benefits verification services process consists of the five major steps:

Patient Registration & Verification

We integrate directly with your EHR, practice management system, or payer portals to confirm active coverage within seconds.

Detailed Benefit Analysis

Beyond eligibility, we check deductibles, copays, co-insurance, and coverage limits by CPT/ICD codes, ensuring no surprises at billing.

Batch & Bulk Processing

Upload entire patient lists or ANSI 270/271 files — we will verify coverage for every scheduled patient before their visit.

Prior Authorization Support

Our team handles benefit confirmations and secures required pre-certification numbers, so approvals are in place before treatment begins.

Automation + Expert Oversight

Robotic process automation (RPA) validates eligibility in seconds, while our billing specialists resolve exceptions for guaranteed accuracy.

Nationwide Coverage – Serving All 50 States

Insurance eligibility requirements vary across states and payers, but our services are designed to support providers in every region of the United States. Whether you operate a single practice or a large healthcare group, our specialists handle eligibility and benefits verification for payers in all 50 states.

Expertise Across 50+ Medical Specialties

Every specialty has unique coverage requirements, coding rules, and payer guidelines. We adjust our verification process to the specific requirements of each specialty. This ensures coverage details are accurate. It also helps secure authorizations and reduce claim denials.

Why Healthcare Providers Rely on Us

The recent CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) emphasizes modernizing data exchange and streamlining prior authorization via APIs. We align with this by using secure, industry-standard interoperability tools and electronic processes that accelerate authorization workflows and reduce administrative friction. That means faster eligibility checks and quicker service, all in line with the 2026 compliance standards.

Proven Experience in Medical Billing

Years of expertise in eligibility verification and revenue cycle management for diverse specialties.

Technology-Driven Accuracy

Automated tools integrated with EHR and payer systems for faster, error-free verifications.

Dedicated Billing Specialists

A team that manages complex verifications, multi-payer checks, and manual follow-ups with payers.

Scalable Services for Any Practice

From small clinics to large group practices, our solutions adapt to your workflow.

Measurable Results

Reduced denials, improved AR performance, and higher patient payment collections at the point of care.

Compatible with 600+ EMR, EHR, and Practice Management Platforms

Our Satisfied Clients

Discover how physician groups thrive with us.

Dastify Solutions has been a huge help with all of our surgical prior authorizations. They are reliable, efficient, and make the process so much easier. We can always count on them, which allows us to focus on providing the best care for our patients. Highly recommend!

Dastify is awesome! They have assisted our company every step of the way. They are easy to work with and are always responsive and professional. I would recommend them for all of your billing needs!

Very happy with Dastify’s services for our practice. We highly recommend them! They are very thorough and professional.

Frequently Asked Questions

How does eligibility verification reduce claim rework?

When coverage and benefits are confirmed upfront, billing teams avoid submitting claims with missing or inaccurate information. This prevents time-consuming rework, resubmissions, and appeals, allowing your practice to keep claims moving through the revenue cycle smoothly.

Can your team handle secondary or tertiary insurance verification?

Yes. We verify all levels of coverage — primary, secondary, and tertiary — to ensure the correct payer order is established. This eliminates coordination-of-benefits issues that often cause claim delays or partial payments.

How do you ensure accuracy when payer data changes frequently?

We use automated eligibility checks combined with scheduled re-verifications, so any mid-cycle insurance updates such as policy lapses or plan changes are captured before claims are filed. Our billing specialists review flagged cases for complete accuracy.

What happens if a patient’s insurance cannot be verified electronically?

In cases where payer systems do not return data or require manual intervention, our verification specialists contact payers directly to confirm coverage. This hybrid approach guarantees that even hard-to-verify patients are cleared before the date of service.

Do you provide reporting or audit trails for verifications?

Yes. We generate detailed reports showing verification status, payer responses, authorization numbers, and benefit breakdowns. These reports can be integrated into your practice’s workflow for compliance tracking and performance audits.

Get reliable eligibility and benefits verification services for your practice.

Ensure every patient encounter begins with accurate eligibility and benefits verification. Connect with our billing experts today and keep your revenue cycle running smoothly.