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The patient comes in. You provide care. Your biller submits the claim. Two weeks later: denied. “Patient not eligible on date of service.” Or “plan terminated three months ago.” Or “wrong subscriber ID.”
Revu Billing eliminates this problem completely. We verify eligibility and benefits for every patient before every appointment, catching coverage issues, benefit limitations, and authorization requirements before you provide a single service. No surprises. No free care. No awkward collection calls.
| Issue | In-House Approach | Revu Billing System |
|---|---|---|
| Verification Depth | Surface-Level | Deep and Comprehensive |
| Returning Patients | Assumed Active | Re-Verified |
| Authorizations | Denied due to lack of information | Pre-Identified/Pre-worked |
| Documentation | Informal | Detailed Reports |
| Timing | Post-Service | Pre-Visit Resolution |
| Pricing | $88,000 | $36,000 |
True Annual Cost: $181,000 – $222,000 per $1M collected
Actual Investment: $50,000 – $52,000 per $1M collected
Revu Billing operates on a straightforward principle: eligibility verification shouldn’t be a cost, it should be an investment that prevents losses. Our simple pricing model means you know exactly what you’re paying each month. No per-verification fees. No surprise charges when patient volume increases. No extra costs for “rush” verifications or same-day appointments.
The result? Every patient verified before every appointment, 99% accuracy on coverage details, and 8-12% reduction in claim rejections, all at a cost that pays for itself within the first month through prevented denials.
As a top-rated medical billing outsourcing company, Transcure provides reliable medical billing services fit for your practice.
With certified coders, our team performs specialty-specific CPT and ICD-10 coding to reduce denials and boost collections.
With certified coders, our team performs specialty-specific CPT and ICD-10 coding to reduce denials and boost collections.
With certified coders, our team performs specialty-specific CPT and ICD-10 coding to reduce denials and boost collections.
Revu Billing handles every aspect of insurance eligibility verification so no coverage issue goes undetected and no rejection catches you by surprise. Our comprehensive verification services eliminate guesswork and protect your revenue:
Our team focuses exclusively on eligibility verification, this isn't something they do between answering phones and checking patients in. We have the time to verify thoroughly, catching details front desk staff miss.
We verify 100% of patients before 100% of appointments, including established patients you've seen for years. Insurance changes constantly, we catch those changes before they become rejections.
We don't just check if a policy exists. We verify copays, deductibles, coverage limits, out-of-pocket, co-insurance, network status, authorization needs, referral requirements, and service-specific benefits.
We verify eligibility days before appointments, not minutes before. This gives you time to resolve issues, identify authorization requirements, contact patients about coverage problems, or reschedule if necessary.
Every verification generates a report with complete coverage details that goes to your front desk and billing team. Everyone knows what to collect, what to expect, and how to code properly.
When we discover coverage issues, inactive policy, authorization required, patient reached visit limit, we alert you immediately so you can address it before the patient arrives, not after you've provided care.
With over two decades of experience, we’ve verified millions of patient eligibility for hundreds of practices. Here’s exactly how we protect your revenue:
Three things: thoroughness, consistency, and time. Our verification specialists spend 5-10 minutes per patient checking everything, not just "is the policy active" but copays, deductibles, service coverage, authorization needs, visit limits, referral requirements. Your front desk doesn't have that time because they're answering phones, checking patients in, and handling a dozen other tasks. Plus, we verify every patient before every appointment without exception. When your front desk gets slammed, verification gets skipped. We never skip it. That consistency prevents the rejections that cost you thousands.
We verify 24-48 hours before scheduled appointments. This timing is intentional, it's recent enough that the information is current, but early enough that there's time to resolve issues before the patient arrives. If we discover a problem like inactive coverage or authorization needed, you have a full day or two to contact the patient, obtain the authorization, verify new insurance, or reschedule if necessary.
We alert your staff immediately, usually within an hour of discovering the issue, with a clear explanation of the problem and recommended next steps. For example: "Patient insurance shows terminated as of last month. Recommend contacting patient to verify current coverage before appointment."
Absolutely. We verify whether the scheduled service requires prior authorization or a referral as part of our standard verification process. If authorization is needed but not obtained, we flag it immediately, typically 48-72 hours before the appointment, so there's time to secure the authorization or reschedule.