Insurance Verification FAQs

Insurance Verification FAQs Frequently Asked Questions about the Insurance Verification service.

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Verifying patient eligibility is becoming an indispensable process when it comes to billing patients, getting paid by insurance providers, and the overall management of practices’ revenue cycles. With the rise in high-deductible and cost-sharing insurance plans, more and more patients are required to make payments at the time of service, though many patients are unaware of this fact. Successful billing depends on effective eligibility verification.
Once a patient’s insurance information is entered into Unified Practice, an AcupBilling insurance verification specialist is alerted to call the patient's insurance company and check if the patient’s plan covers the services you offer. If there is coverage, the specialist will also find out additional details such as copay and deductible amounts along with any restrictions on procedures or number of visits.
You control when and how Insurance verifications are requested. (See What triggers a verification?)

$3.95 per verification - For one service and up to 5 CPT codes
We will issue an invoice and charge your card on file at the end of each month. The pricing will be based on the number of verification checks made during that month regardless of the result of the check.

Eligibility checks are made by phone and our insurance verification specialists always speak to a human representative, as automated systems do not always provide complete or reliable information.

Once a verification is requested, the Insurance Verification Team will call the insurance company to verify patients benefits within 2 business days.

You have full control over which verifications are sent to the team through the patient's Insurance tab of their file.
You can either enter their card information manually and be prompted to send the verification after clicking Save.
Alternatively, if the patient entered their card information through the Onboarding Workflow, you can click the Check Insurance Benefits button.
Insurance benefits should be verified at least once per year when the insurance plan renews or changes, though ideally they should be verified before each visit in order to get up to date information on number of visits left, deductible amounts etc.
We make it easy for you to let us know when it’s time to re-check an existing patient’s benefits.

You will be notified each time a check is made, directly on the dashboard.
At first glance, you are able to see the number of Verified, Incomplete or Pending inquiries sent to us, with a descriptive text for each and direct links to patient files.

Once a verification is completed by a verification specialist, the information will immediately appear in three places:

In the Patient’s file under the Insurance Tab.
On the dashboard in the Insurance Verification section. (See How am I notified when a check is made?)
In the Reports section in a report called “Insurance Verification”. For full visibility on all checks, we advise you check this report daily for updates.

Insurance is verified based on each clinic’s specifics. We adapt the questions we ask to best fit your clinic’s insurance billing workflow.

Examples of the questions we ask include:

Does the patient have acupuncture (or other services) coverage?
If YES, what are the benefits? DED, OOP, co-insurance, visits, copay, plan year or calendar year, effective date/end date, DX restrictions, whether pre-authorization is required. Check up to 5 CPT codes per service, provided by the practitioner.

Please reach out to our verification team directly: upverification@acupbilling.com

How Do I Enable Insurance Verification?
Click Here to follow the steps to enable IV on your account.
How can I Request an Insurance Verification?
Click Here for the steps on how to request an insurance verification.
How do I Interpret the Insurance Verification Report?
Click Here for a breakdown of the Insurance Verification Report.

If the Check Insurance Benefits button is grayed out, please check these areas are filled in under the Card Information section.

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