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OptimIQ Health
Eligibility Verification Services
Managed Service

Coverage verified at scale, exceptions handled before the patient arrives.

Eligibility Verification Services runs EligixIQ for you. The next day’s schedule is verified overnight across every practice and location you serve, single checks run in real time at the desk, and our team works the exceptions — terminated coverage, wrong payer on file, coordination-of-benefits conflicts, out-of-network plans — before the patient is in the waiting room. Built for revenue cycle companies and multi-location groups that need mass eligibility done reliably, with payer enrollment tracked per practice and every verification logged.

What it does

Inside Eligibility Verification Services

Every capability below exists because a practice asked for it. Nothing here is a roadmap item.

Overnight batch, every practice

Tomorrow’s schedule verified through the national clearinghouse network for every practice you serve, with exceptions sorted to the top of the morning list.

Exceptions worked by people

Our team calls the payer, confirms the secondary, corrects the plan on file, and documents the outcome — before the desk sees the patient.

What to collect, per patient

Copay, deductible remaining, and coinsurance for the scheduled service, written in plain language for the front desk.

Enrollment tracked per practice

Payer enrollment status for each practice is monitored and pending enrollments chased, so verifications do not fail silently.

Audit trail and monthly review

Every verification logged with user, time, payer, and response. A monthly review shows exception patterns by payer and practice, with the registration fixes that remove them.

In context

The schedule, verified and worked, before the doors open

A batch run across several practices with every exception assigned, worked, and closed with a note. The example shown is illustrative, not real patient data.

Exceptions · tomorrow
Open worklist
Verified overnight
312
Exceptions closed
16 / 19
Waiting on payer
3
PatientPracticeExceptionWorked byOutcome
A. GomezRiverside OrthoTerminatedT. RiveraNew Medicaid MCO found and added to file
P. ShahRiverside OrthoCOBT. RiveraMedicare confirmed primary; AARP secondary on file
L. OkaforLakeview CardiologyOut of networkM. AdeyemiPatient called; visit rescheduled with in-network provider
J. ParkNorthside FamilyWrong payerM. AdeyemiPlan corrected from BCBS to Aetna per card

Illustrative example · not real patient data

How it works

From the schedule to the signed record

First

Enroll

Each practice is enrolled with its payers through the clearinghouse network; enrollment is tracked from day one.

Then

Verify overnight

The full schedule runs in batch overnight; the desk keeps real-time checks for add-ons and walk-ins.

Then

Work the exceptions

Our team resolves terminated plans, payer corrections, and coordination-of-benefits conflicts and notes the outcome.

Finally

Review monthly

Exception patterns by payer and practice, with the registration and enrollment fixes prioritized.

By design

Facts, not promises.

These are properties of how Eligibility Verification Services is built — not projected savings. Results in your practice depend on your payers, your panel, and your documentation.

0 modes
Real time and batch

One patient at the desk, or every practice’s schedule overnight

0 audit trail
On every verification

User, timestamp, payer, and response kept per practice

0 reviews
Every year

Exception patterns by payer and practice, with fixes prioritized

See Eligibility Verification Services on your own workflow.

Tell us what your organization is fighting — open care gaps, documentation, denials, coverage — and we will walk you through the part of the platform that closes it.