Prevent Denials
Increase Reimbursements
Reduce Administrative Burden
Eligibility mistakes are one of the biggest reasons healthcare providers lose revenue. If a patient’s coverage isn’t verified correctly before their visit, the result is delayed billing, denied claims, and rework for your staff.
We perform each insurance verification manually and check every detail that could impact your ability to get paid.
Our team works around your current system. Whether you use Epic, Cerner, or another EHR, we deliver eligibility checks in a way that fits your existing process.
Coverage verified 24 to 72 hours before the visit
Same-day checks available for last-minute scheduling
Results sent by email, secure file, or directly entered (as allowed)
Payer calls made manually for accuracy
Dedicated team assigned to your organization
Eligibility errors are a leading cause of claim rejections and delayed payments. Our team carefully verifies each patient’s insurance details to prevent these issues before they occur. We make sure your front office and billing staff have complete, accurate information before the patient arrives. The result is a clear, easy-to-use eligibility report that supports faster, cleaner claim submissions.
Active status of all insurance plans (primary, secondary, tertiary)
Policy start and end dates
Co-pay, deductible, and out-of-pocket max
Referral or authorization requirements
Coverage restrictions and excluded services
In-network versus out-of-network eligibility
Par/ Non-Par with individual or group
Co-pay, deductible, and out-of-pocket max
Our manual process delivers cleaner results than automated tools. Here’s what our clients have seen:
Denials due to
Claim submission time
Front-desk rework
16% to 18%
3 to 4 days
Frequent
4% to 6%
Same day or next day
Rare
We don’t worry about insurance issues anymore. OneMed finds problems before they reach us. That saves us time and money.” 
We serve large practices and multi-specialty groups that need accurate and dependable service across locations. Our team understands the complex requirements that different specialties and payer types bring to the table.
We work with commercial insurers, Medicare, and Medicaid. Our processes are secure and HIPAA-compliant. Reports include payer call logs and reference numbers. And as your organization grows, we can scale support to match your pace.
Here’s a quick look at how our eligibility process flows from scheduling to claim submission. We keep it simple, effective, and fully aligned with your team’s workflow.
Here’s a quick look at how our eligibility process flows from scheduling to claim submission. We keep it simple, effective, and fully aligned with your team’s workflow.
Many healthcare providers rely on either in-house staff or automated tools to handle insurance verification. Both approaches leave gaps that can cause delays and denials. Here’s how OneMed’s manual process compares.
Yes, we verify both commercial and government coverage across all 50 states.
Yes. Our team is trained in specialty-specific policy rules and limitations.
We complete most checks within 24 to 72 hours before the visit, with urgent support available on request.
Yes. We support multi-location practices, specialty groups, and high-volume healthcare organizations.
Yes. All staff receive HIPAA compliance training and follow secure workflows.
Aug 27, 2025
Aug 23, 2025
