★ Medical Billing Services Starting as Low as 2.5% of Collections*

Our Service

Eligibility, Benefits Verification & Prior Authorization Services

Strengthen Your Revenue Cycle Before the Patient Visit

Many insurance-related billing problems begin before services are provided.
At SaMeD RCM Solutions LLC, our Eligibility, Benefits Verification & Prior Authorization services help healthcare practices identify important payer requirements before the date of service.

This can support smoother patient visits, stronger front-end workflows,
and fewer avoidable insurance-related claim issues.

Insurance verification clipboard listing patient name, active coverage status, effective date, plan type, deductible, out-of-pocket, coinsurance, copayment and prior authorization, each checked

Eligibility & Benefits Verification

  • Active Coverage Verification
  • Effective Date Confirmation
  • Plan Information
  • Copayment Information
  • Deductible Information
  • Coinsurance Information
  • Service-Specific Benefits
  • Benefit Limitations
  • Referral Requirements
  • Network Status Information
  • Prior Authorization Requirements

Prior Authorization Support

  • Authorization Requirement Verification
  • Information Collection
  • Authorization Submission
  • Supporting Documentation Coordination
  • Payer Follow-Up
  • Authorization Status Tracking
  • Authorization Number Documentation
  • Expiration Date Tracking
  • Follow-Up on Pending Requests

Reduce Preventable
Insurance-Related Issues

  • Inactive coverage
  • Incorrect insurance information
  • Missing authorization
  • Referral requirements
  • Benefit limitations
  • Network restrictions
  • Patient financial responsibility
  • Service coverage questions

Better Patient Financial Visibility

  • Copayments
  • Deductibles
  • Coinsurance
  • Coverage limitations

A Stronger Front-End Revenue Cycle

  1. Registration
  2. Billing
  3. Claims
  4. Payments
  5. Follow-Up

Benefits for Your Practice

Prevent Billing Problems Before They Start

Let our team identify eligibility, benefit, and authorization requirements
before they become reimbursement issues.