Verification of Benefits (VOB) & Prior Authorization Management Services
A patient is scheduled, but their benefits are unclear. A treatment is planned, but the authorization is still pending. When these details surface at the last minute, your staff has to scramble and your patient may face a delay. CodeCure AI helps U.S. healthcare practices verify insurance benefits, identify prior authorization requirements, track payer requests, and keep your team informed before the date of service.
Outcomes
Identify Coverage and Authorization Issues Before Patient Visits
- Identify inactive coverage, missing information, and benefit limitations before they disrupt a scheduled service.
- Give eligibility checks, payer calls, portal reviews, and authorization follow-up an organized workflow.
- Document available deductible, copay, coinsurance, and coverage details so your staff can discuss expected responsibility with patients.
- Track which authorizations are required, submitted, pending, approved, denied, or waiting for more information.
How it works
How Our VOB & Authorization Management Process Works
- 1
Review Upcoming Services
We use the agreed scheduling workflow to identify upcoming visits or treatments that need an insurance or authorization check.
- 2
Verify Coverage and Benefits
Available payer information is reviewed, and relevant benefit details or discrepancies are documented for your staff.
- 3
Check Authorization Requirements
We confirm whether an authorization is required and identify the payer’s submission process and available documentation requirements.
- 4
Submit and Follow Up
Requests are prepared using information supplied by your practice, submitted through the agreed channel, and tracked for a response.
- 5
Report the Status to Your Team
Your staff receives the available coverage and authorization status so they can address outstanding issues before the appointment.
Why CodeCure AI
Smarter Revenue Cycle Management, Measurable Results
AI-assisted technology and experienced billing specialists work together to improve accuracy, efficiency, and financial performance.
AI-Assisted Accuracy
Automated checks identify missing information and payer-rule issues before they cause delays or denials.
Transparent Reporting
Clear reporting provides visibility into clean claims, A/R, denials, payments, and collections.
Expert Human Review
Experienced billers and coders manage complex claims, exceptions, and escalations with careful oversight.
Specialties
Specialties we support
Specialty-aware teams apply the right coding, documentation, and payer rules to every claim.
States
States we serve
Nationwide coverage with workflows tuned to state Medicaid programs and regional payer requirements.
Related
Other ways we run your revenue cycle
Accounts receivable management
Reduce aging A/R, recover unpaid claims, and improve your practice’s cash flow.
Analytics & Reporting
Track revenue, claims and denials with real-time medical billing analytics and reporting.
Credentialing & State Licensing
Simplify provider credentialing, payer enrollment, and state licensing.
FAQ
VOB & Prior Authorization FAQs
Stage Test Ready to recover more of the revenue you already earned?
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