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Medical Billing Service

Insurance Eligibility

Real-time eligibility and benefits verification, completed before every visit.

Insurance eligibility verification confirms a patient's active coverage, benefits, and cost-sharing details before their appointment. Xylo Med Solutions verifies eligibility in real time for every scheduled visit, reducing coverage-related denials and front-desk surprises.

Overview

Eligibility issues are one of the most preventable causes of denials — and one of the most disruptive to a patient's visit. We verify coverage, benefits, and authorization requirements ahead of time, so your front desk and your patients both know what to expect.

What's included

  • Real-time eligibility verification for every scheduled visit
  • Benefits and coverage checks by plan and service type
  • Prior authorization coordination and tracking
  • Deductible and co-pay estimates for patient conversations
  • Coverage issue alerts sent before the appointment
  • Verification for both new and returning patients

Why it matters

01

Fewer eligibility-related denials

02

Clearer, earlier cost conversations with patients

03

Reduced front-desk workload

04

Fewer surprise billing disputes after the visit

Insurance Eligibility FAQ

When is eligibility checked?
Eligibility and benefits are verified before the scheduled appointment, giving the front desk time to resolve any coverage issues before the patient arrives rather than after the visit.
Does this cover prior authorization too?
Prior authorization requirements are identified as part of the eligibility check, and the authorization process itself is coordinated and tracked so approvals are in place before service is rendered.
How does this reduce denials?
A large share of claim denials trace back to eligibility issues that existed before the visit even happened. Catching them beforehand prevents the resulting denial entirely rather than appealing it afterward.
Client Voices

What clients say about our insurance eligibility.

"Eligibility gets verified before the patient ever checks in now. Our front desk isn't fielding coverage surprises anymore."

RG
Front Office Manager
Radiology Group

"Our denial rate dropped noticeably within the first two months. The team actually calls us back the same day — that alone was worth the switch."

FM
Practice Administrator
Family Medicine Group

Ready to fix your insurance eligibility?

Get a free, no-obligation audit — we'll show you exactly where revenue is being left on the table.

Our Location

Find Us

1 Neshaminy Interplex Dr #205, Feasterville-Trevose, PA 19053

Get In Touch

Let's talk about your revenue cycle.

Tell us a bit about your practice and we'll follow up within one business day with next steps for your free audit.

Office
1 Neshaminy Interplex Dr #205,
Feasterville-Trevose, PA 19053
Hours
Mon – Fri, 8:00 AM – 7:00 PM EST

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