01
What we verify
Verification is documented from available payer sources and reflects the information available at the time of inquiry.
- Active coverage and effective dates
- Deductible and remaining deductible
- Copay and coinsurance
- PT, OT, and ST benefits
- Individual or combined visit limits
- Authorization and referral requirements
- Payer-specific limitations
02
A structured front-end workflow
We confirm the patient and policy, check therapy-specific benefits, document source and date, flag missing information, and communicate restrictions that require clinic action.
03
Important limitations
Benefit verification is not a guarantee of payment. Final reimbursement depends on eligibility at the date of service, medical necessity, documentation, coding, authorization, and payer adjudication.
04
Why it matters for PT
Therapy benefits may be separate, combined across disciplines, limited by visits or units, or administered by a different vendor. Those details need to be captured before treatment plans advance.