Eligibility Verification

Eligibility errors are one of the top reasons claims get denied. For practices of any size, missed verifications mean delayed payments, frustrated patients, and extra admin work.

At Meridian RCM, we take the burden off your staff by verifying insurance coverage upfront—before the patient walks in—so your front desk stays confident, your billing stays clean, and your collections stay strong.

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Key Benefits

Instant Eligibility Checks

Verify active coverage in under 30 seconds using clearinghouse-integrated tools.

Fewer Denials

Cut eligibility-related denials by up to 90% and improve claim acceptance rates.

Front-Desk Efficiency

Free up 10–15 staff hours per week by automating manual verification steps.

Fast, Accurate Insurance Checks — Before the Patient Even Walks In

Meridian RCM’s automated eligibility process ensures insurance is verified before the patient ever arrives; reducing claim rejections, improving time-of-service collections, and enhancing patient satisfaction. From real-time payer checks to proactive issue flagging, our four-step system delivers clarity and confidence to your front office.

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Collect Patient Information

We capture and validate all necessary insurance details—subscriber ID, group number, coverage type—at the time of scheduling or check-in. This proactive step ensures the right data flows through your revenue cycle from the start, preventing costly errors and patient confusion later.

Real-Time Eligibility

Our automated tools instantly verify coverage, co-pays, deductibles, out-of-pocket maximums, and prior authorization requirements with payers in under 30 seconds. This reduces the risk of claim denials and ensures patients are financially cleared before their appointment.

Identify & Flag Issues

Any gaps, mismatches, or expired policies are flagged immediately for resolution. Our system highlights high-risk policies, secondary insurance requirements, and COB conflicts, so your staff can correct errors before they lead to denied claims.

Share Verified Results

Your team receives a concise, easy-to-read summary of all verified benefits, enabling accurate upfront collections, smooth patient communication, and fewer billing disputes. Clear data at check-in means fewer surprises for both your team and your patients.

What Our Clients Say

Hear from some of our amazing customers who are building faster.

“As a small family practice, billing used to be a constant struggle. Partnering with Meridian RCM completely streamlined our operations. Within the first three months, they reduced our claim denials by 30%. Their dedicated account manager keeps us updated regularly, giving me the peace of mind to focus on patient care while they expertly handle the financial side.”

Priya Malhotra

Owner, Sunrise Family Medicine Group

"I really value the reporting process the Meridian RCM team has put in place. Their monthly report outlining the top 10 denial and rejection reasons has been instrumental in helping us identify patterns and lower our practice’s denial and rejection rates."

Justin Wei

Summit Spine & Pain Center

“After switching to Meridian RCM’s prior authorization solution, our processing time dropped from 5 days to just 24 hours. The automation has nearly eliminated auth-related denials, allowing our team to spend more time on patient care and less on administrative tasks.”