Patient and coverage information together.
Staff can check eligibility from the same platform that manages appointments and patient records, instead of maintaining a separate verification spreadsheet.
ELIGIBILITY & CO-PAY
Find coverage questions before they become billing surprises.
Check eligibility and available benefit information without separating it from the patient’s visit. Give the front desk and billing team a clearer starting point for the day.
- Eligibility through Stedi
- Available benefit and co-pay information
- Coverage issues visible to your team
HOW THE WORK MOVES
Check. Understand. Resolve.
A verification result is most useful when staff can connect it to a clear next step.
- 01
Check the patient’s coverage.
Run eligibility using the patient and insurance information in Moxcares. Review the returned coverage details for the relevant visit.
- 02
Read the payer’s response.
Review available co-pay, deductible and benefit information. Returned detail varies by payer, plan and service; unresolved questions still need follow-up.
- 03
Address issues before billing.
Use coverage alerts and the verification result to identify information that needs correction or confirmation before the claim progresses.
BUILT INTO THE WORKFLOW
Useful at the front desk. Relevant to billing.
Keep the response connected to the record so the next person does not have to restart the investigation.
A better patient payment conversation.
Available co-pay and benefit details help staff explain what needs confirmation. Present estimates as estimates, with payer-specific limitations made clear.
Part of the revenue cycle, not a detached check.
Eligibility and claims share the patient record. Teams can investigate missing or expired coverage information before it creates more downstream work.
SEE IT IN PRACTICE
Coverage checked. Next steps clearer.
See how staff review insurance verification and available co-pay information in the patient workflow.
What this video shows
See how staff review insurance verification and available co-pay information in the patient workflow.
CLEAR RESPONSIBILITIES
Eligibility is information—not a promise of payment.
Payer responses may be incomplete or change over time. An active policy or returned benefit does not guarantee coverage, authorization, medical necessity or final claim payment. Confirm unresolved requirements with the payer.
Explore the Trust CenterBEFORE YOU DECIDE
A few useful answers.
Who provides the eligibility connection?
Eligibility is integrated through Stedi, which is included in our PHI-handling vendor overview.
Will every payer return a co-pay?
No. The level and type of benefit information depend on the payer, plan and request. Staff should investigate missing or unclear information rather than assume a zero balance.
Is an eligibility check the same as authorization?
No. Coverage verification and prior authorization are different requirements. An active eligibility response does not mean an authorization requirement has been satisfied.
Can we use the result before collecting a payment?
Available benefit information can inform the discussion, but the patient’s final responsibility depends on the applicable coverage and claim adjudication.
YOUR PRACTICE. YOUR PACE.
Start with the work
you want off your plate.
Bring your toughest workflow. We’ll show you how Moxcares can help—and what moving over would look like.
Show me my workflowA focused conversation. A practical next step.