Patient Access
Know Coverage Before Treatment Begins
Comprehensive insurance verification services that eliminate surprises and ensure you get paid for every authorized service.
The Challenge
Admitting patients without fully understanding their coverage leads to claim denials, patient balance disputes, and revenue loss. Manual verification is time-consuming, and insurance portals are complex. Your staff spends hours on hold instead of caring for patients.
Our Solution
VitalBridge provides thorough, same-day benefit verification for all commercial and government payers. We dig beyond basic eligibility to uncover deductibles, out-of-pocket maximums, prior auth requirements, and behavioral health carve-outs—so you know exactly what's covered.
Comprehensive Solution
What's Included
Deep Eligibility Checks
Comprehensive verification beyond basic eligibility including mental health and substance abuse benefits.
Benefit Summaries
Clear, detailed benefit summaries delivered within hours of admission inquiry.
Prior Auth Identification
We identify prior authorization requirements upfront to prevent downstream denials.
Network Status Verification
Confirm in-network status and negotiate single case agreements for out-of-network patients.
Patient Cost Estimates
Accurate patient responsibility calculations for transparent financial conversations.
Reverification Workflows
Ongoing benefit monitoring to catch coverage changes during extended treatment.
Simple Process
How It Works
Submit Inquiry
Send us patient demographics and insurance information via secure portal or EHR integration.
Verify Benefits
Our team contacts payers directly to obtain complete benefit details within hours.
Deliver Summary
Receive a comprehensive benefit summary with coverage details and patient responsibility.
Ongoing Monitoring
We reverify benefits throughout treatment to catch any coverage changes.
Why Choose Us
Key Benefits
Faster Admissions
Same-day verifications accelerate patient intake.
Reduced Denials
Prevent coverage-related denials before they happen.
Staff Time Saved
Free your team from hours on hold with payers.
Patient Transparency
Clear cost expectations improve collections.
Average Turnaround
Verification Accuracy
Denial Reduction
Coverage Available
Got Questions?
Frequently Asked Questions
We provide same-day verification for most payers, with an average turnaround of 4 hours. Urgent requests can often be completed within 1-2 hours during business hours.
We need basic patient demographics (name, DOB, address), insurance ID and group number, and the anticipated services/levels of care. Our secure portal makes submission quick and easy.
Yes, we verify out-of-network benefits and can assist with single case agreement negotiations to improve reimbursement rates for out-of-network admissions.
We implement reverification workflows at key intervals during treatment to catch coverage changes, benefit exhaustion, or policy terminations before they impact your claims.
Yes, we integrate with all major behavioral health EHR and PM systems for seamless verification requests and benefit summary delivery directly into your workflow.
“VitalBridge's VOB team catches issues we never would have found. Their thorough verifications have virtually eliminated our coverage-related denials.”