Insurance Eligibility

A doctor of podiatric medicine and experienced podiatric coder reviews every billing statement to ensure it gets paid accurately and quickly.

Often, a patient would be ineligible for benefits because his or her policy has been terminated or modified. AHCBS can help practices dramatically reduce their accounts receivable cycle and increase revenue by significantly reducing the impact of ineligibility and increasing the number of “clean” claims that are sent to insurers (i.e., claims that are both complete and are only for patients who are eligible for benefits).


Eligibility Verification Process Flow:

  • STEP 1: Checking and verifying the patient’s insurance eligibility and benefits prior to the treatment.
  • STEP 2: Checking with the insurance company regarding any payment responsibility the patient needs to fulfill prior or post the treatment. This is done by our team of expert telecallers two days prior to the patient’s appointment date.
  • STEP 3: Informing the patient of their payment responsibilities at the time of appointment scheduling. This step is beneficial to both the patient and our clients. It helps the patients decide on the course of treatment and the client to avoid last minute cancellations due to ineligibility reasons.
  • STEP 4: The appointment confirmation process is particularly helpful for the client and patient as it negates last minute schedule changes and saves time for the front desk staff, thereby increasing overall efficiency.
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Benefits from AHCBS Eligibility Verification Services:

Fewer Denials

AHCBS services manages both primary and secondary insurances to ensure that billing is correct and has been sent to the proper payer, resulting in fewer claim denials..

Reduction in A/R Days

The system not only validates that the patient has coverage but also has the ability to submit outstanding invoices for eligibility verification purposes. This helps ensure accurate billing, eliminating the need to resubmit claims, and reducing the number of days from billing to collection.

Increased Cash Flow

Access to correct billing information means increased upfront collection of patient fees and fewer resources required for billing and collections, freeing up cash for other functions..

Enhanced Efficiency

Automating the eligibility process streamlines workflow, reduces paperwork, and enhances billing accuracy; meaning less staff time is required for billing and collections.

    American HealthCare Billing Services ,LLC is a full-service podiatry-exclusive billing company. Founded in 2003, our firm has billed for more than 60 podiatrists in 22 states. Our expert team works with podiatrists nationwide to decrease stress of the billing and, more important, to increase cash flow. Our team collectively has more than four decades of experience in the field of podiatry,


    6604 Elvedon Drive, Suite 100, Dallas, TX 75248


    (972) 380-8028