Service
Eligibility & Prior Authorization
Every successful claim begins long before the patient walks through the door. We eliminate the most preventable causes of denials — coverage mismatches, missing authorizations and benefit errors — by handling all verification and approval workflows upfront, on your behalf.
What's included
Secure upfront approvals, avoid costly denials.
Eligibility verification
- Real-time insurance eligibility checks
- Active coverage & effective-date confirmation
- Co-pay, co-insurance & deductible verification
- In-network vs. out-of-network status check
- Coordination of benefits (COB) review
Prior authorization management
- Authorization requirement identification by payer & plan
- Prior auth submission on behalf of your practice
- Persistent payer follow-up until a decision is received
- Authorization number & expiration tracking
- Peer-to-peer review coordination & appeals
Why Core MBS
Built to protect every dollar you earn
- Eliminate authorization-related denials before they happen
- Reduce administrative burden on your front desk
- Every visit financially cleared in advance
- Full audit trail of every authorization and verification
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Let's get your revenue cycle healthy.
Send us a note for a free, no-obligation billing review — we'll show you exactly where revenue is leaking and how we'd fix it.
- Corembs5@gmail.com
- corembs.com
- 30 N Gould St, Ste N, Sheridan, WY 82801