Eligibility & Benefit Verification
That Prevents Claim Rejections

Accurate, real-time insurance verification before services are rendered.

Insurance eligibility verification confirms patient coverage, benefits, deductibles, copays, and authorization requirements. Pulmocare RCM performs real-time verification to prevent avoidable denials.

Eligibility-related denials are among the most common in pulmonary & inpatient care. Pulmocare RCM’s accurate verification process eliminates them.

We Verify

Coverage & Active Status

Copay, Coinsurance & Deductible

Preauthorization Requirements

Facility Rules

Out-of-Network Policies

Real-time verification ensures clean claims from the start.

Schedule a Demo / Contact Us

Let us show you how our Pulmonary & Critical Care Billing expertise can transform your revenue performance.

Pulmocare RCM is a specialty-focused Pulmonary & Critical Care Revenue Cycle Management company serving healthcare providers across the United States.
With 27 years of experience, we help hospital-based physicians, ICU teams, and rehabilitation providers reduce denials, ensure compliance, and maximize reimbursement.

Frequently asked questions

Why is eligibility verification critical before pulmonary and critical care services?

Eligibility verification confirms insurance coverage, benefits, authorization requirements, and patient responsibility. Verifying eligibility before services are rendered prevents avoidable claim rejections and payment delays.

What information is checked during insurance eligibility verification?

Eligibility verification includes active coverage status, plan benefits, deductibles, copays, coinsurance, authorization requirements, and network status