Eligibility Verification Services

Performing medical care or dispensing Durable Medical Equipment without verifying active insurance coverage leads to immediate claim rejections and uncollectible debt. At MedAzure, our Eligibility Verification (EV) services ensure that patient insurance status, primary/secondary coverage, deductibles, copays, and prior authorization requirements are fully validated within 1-2 business days.

What Our Verification Covers

• Active Policy Confirmation: Real-time insurance portal and telephone verification with Medicare, Medicaid, and commercial plans.
• Benefit & Limit Analysis: Detailed breakdown of copayments, coinsurance percentage, remaining deductible, and lifetime max.
• DME Specific Coverage: Verification of same/similar DME equipment rules, physician order requirements, and rental vs purchase limits.
• Pre-Auth Requirement Check: Identifying whether prior authorization is needed before providing treatment or equipment.