Eligibility and Authorization Support Before Claims Are Submitted
Eligibility and authorization issues can delay billing or put payment at risk before a claim is submitted.
Where Coverage Gaps Put a Claim at Risk
Eligibility Changes After Scheduling
Coverage can change between when a service is scheduled and when it's delivered, putting the claim at risk.
Authorization Information That Is Missing or Outdated
Missing, expired, or incomplete authorization information can prevent a claim from being ready for submission.
Authorization Requirements That Vary by Payer
Requirements for prior authorization differ by payer and program, so a process that works for one claim may not apply to the next.
What's Included
- Eligibility review at intake, with scheduled reverification
- Authorization intake and reverification
- Coordination with payer-specific requirements
- Available standalone or as part of broader billing support
A Pre-Billing Check Before Claim Submission
Walters reviews available eligibility and authorization information before claims are submitted, helping agencies identify missing or unresolved items that may create a billing delay or denial.
This service is available on its own for agencies that manage billing in-house, or as part of Walters' broader revenue cycle support.
Agencies that need pre-billing support identifying missing, expired, or unresolved eligibility and authorization information.
- Pre-billing hold volume
- Authorization-related denial rate
- Clean claim rate
Looking for a Billing Team That Works Like Part of Yours?
Tell us about your agency, current billing operation, and what you want to improve. An experienced billing specialist—not a sales representative—will follow up to discuss your needs and determine the appropriate next step.
Talk With a Billing Specialist