Most denials are born at the front desk. A lapsed policy, a wrong plan, a missed referral requirement or an unmet deductible all turn into rework weeks later. DigiHibe's eligibility and benefits verification (EBV) service confirms coverage, plan rules and patient responsibility before the patient walks in.
Our trained RCM specialists work inside your EHR or practice management system, record findings where your staff already look, and flag problems early enough to fix them before the visit.
Confirm the policy is active, the plan type is correct and the patient is the right subscriber or dependent.
Copay, coinsurance, deductible and out-of-pocket status documented so staff can collect at the right time.
Coordination of benefits reviewed so claims go to the right payer in the right order.
We flag plans that need a referral or prior authorization before the service is scheduled.
For eye-care practices, we separate routine vision plan benefits from medical insurance benefits for the same visit.
Every check is recorded in a consistent format, with the payer reference and date, so the billing team can rely on it.
We pull upcoming appointments from your EHR or receive a daily schedule from your front desk.
Specialists check eligibility through payer portals or by phone, following your SOPs and payer rules.
Coverage, plan rules and patient responsibility are written back into the patient record.
Inactive coverage, missing referrals and authorization needs are escalated to your team early.
Weekly reporting shows volume, exceptions and denial trends so the process improves over time.
Every DigiHibe RCM service connects, from verification to final payment, so problems found in one step are fixed at the source.
It is the process of confirming a patient has active insurance and understanding what the plan covers and what the patient owes, before the appointment takes place.
We verify ahead of each scheduled visit, typically 5 to 7 days out, so there is time to correct problems and contact the patient if needed.
Yes. For optometry and ophthalmology practices we check vision plan and medical insurance benefits separately and record both.
Yes. We work inside the systems your team already uses, including Aprise, OfficeMate, Crystal PM, Revolution EHR, Maximeyes, Compulink, Infinity and Acuity.
Clean, coded claims submitted on time. DigiHibe's claim filing and submission service covers charge entry, claim...
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Learn more βOptometry billing services covering vision plan and medical insurance claims, eligibility, coding, payment posting...
Learn more βDigiHibe's RCM team works inside Aprise, OfficeMate, Crystal PM, Revolution EHR, Maximeyes, Compulink, Infinity and...
Learn more βFree RCM audit and pilot batch available. Talk to our team about your claims, AR and EHR.