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Insurance verification

Insurance verification so nothing gets bumped at the desk.

HIPAA-compliant verification team confirming eligibility, benefits, deductibles, copays, and network status 24-48 hours ahead of every appointment. Fewer billing surprises, cleaner claims, faster collections.

From $8/hr·HIPAA + BAA·24-48h ahead of every visit·Live in ~2 weeks
Recognized by Clutch
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Why HelpSquad for insurance verification

Insurance surprises at the desk. Gone.

Four reasons practices and DSOs move insurance verification to a managed back-office team.

01

24-48 hours ahead. Every visit.

Every scheduled appointment verified before the day of the visit. Issues surface early, not when the patient is at the window.

02

Clean benefits breakdown.

Deductibles, copays, coinsurance, out-of-pocket max, network status, and prior-auth requirements - in a format your front desk and billing team can read fast.

03

Cleaner first-pass claims.

Upfront verification means claims go out with correct payer info, which means fewer denials, faster reimbursement, and lower A/R aging.

04

Specialty & payer-aware.

Medical, dental, mental health, home care - all have different verification workflows. Team trained per specialty.

How we show up

Six lanes of insurance verification.

Start with one lane; we expand as the engagement earns its keep.

01

Eligibility confirmation.

Active / inactive, effective date, termination date, plan type. Confirmed through your verification tool and documented in the EHR.

02

Benefits breakdown.

Deductibles met, remaining, copays, coinsurance, out-of-pocket max, maximum benefits - all captured in a format your front desk can communicate clearly to the patient.

03

Network & in-network status.

In-network / out-of-network flagged. Out-of-network visits triaged to your financial counseling workflow.

04

Prior-auth requirements flagged.

Procedures requiring prior auth identified at verification. Handoff to your prior-auth team (or ours) before the visit gets scheduled.

05

Secondary insurance coordination.

Primary / secondary benefits captured. Coordination of benefits rules applied per payer.

06

Payer-specific workflows.

Medicare, Medicaid, commercial, ACA plans, and managed care all have different verification quirks - team is drilled per payer.

Tools we work in

Trained on your verification stack.

We meet you in the tools you already use. Custom tool training built into onboarding.

AvailityWaystarChange HealthcareOffice AllyNavineteClinicalWorksEpicAthenaCernerDentrixEaglesoftWellSkySalesforce Health Cloud+ custom tools
Transparent pricing

Simple rates. Nothing to hide.

We publish our rates because we're proud of them. No hidden fees. No surprise minimums. No bait-and-switch. You only pay for hours worked.

$8-$12/hour.
That's it. That's the whole range.
$0
Upfront cost
$0
Implementation fees
$0
Replacement costs
Back Office
$ 8-10
per hour · billing, claims, data entry
  • Insurance verification
  • Medical billing & AR
  • Claims processing & appeals
  • Pre-qualified candidates
  • HIPAA BAA included
Get started
Managed Team
Custom
team lead + multiple VAs + QA
  • Full managed service
  • Workforce management & QA
  • Monthly analytics reporting
  • Ideal for 3+ seats or 24/7
  • US-based operations lead
Request a quote
Ready to get started?

Stop billing surprises. Before they hit the desk.

Insurance verification is usually the first back-office function practices outsource - highest ROI, fastest to show up on the P&L. Book a consultation and we'll scope the verification capacity for your appointment volume.

In their words

What clients say about working with us.

H.E.R. Accessories
Having a real person is what we were looking for. HelpSquad has provided a good business model and support over the past 3 years.
Mason Bottle
The price is excellent for the quality of the service. Agents and coaches learn quickly and give customers an authentic experience with our brand.
VELLO
Within the first 3 months we expanded our hours of active guest communication by about 25% and delivered approximately 33% labor cost savings.
MultiSoft Corporation
They handle all of our live support 24x7x365. Awesome customer service.
Kofile Technologies
Professionals who have always proven themselves trustworthy and beneficial to our support staff.
N.J. Hair Center
It's like having someone there 24/7 to answer questions.
Simple Agency
Agents learn how to answer the top questions prospects ask, custom to YOUR business.
Spark Orthodontics
Good communication between company and customer.
Frequently asked

Answers before you ask.

How does this work across multiple payers?
Team is trained per payer. Commercial, Medicare, Medicaid, Medicare Advantage, ACA, TRICARE, VA - each has documented workflows the team follows.
Which verification tools do you use?
Your verification tool - Availity, Waystar, Change Healthcare, Office Ally, Navinet, or carrier portals. We also work native-EHR verification where your EHR supports it.
Do you verify dental insurance?
Yes. CDT benefits, ortho lifetime max, periodontal frequency limits, and secondary-dental workflows handled.
Can you handle mental-health carve-outs?
Yes. Behavioral health carve-outs, EAP programs, sliding-scale documentation, and session-limit tracking all in scope.
How much does insurance verification cost?
$8-10/hour for back-office verification work. See full pricing →
How quickly will we see results?
Within 30-60 days: fewer day-of-visit billing surprises, cleaner first-pass claims, lower A/R aging on verification-caught issues.
Can you catch missing prior auths?
Yes - prior-auth requirements are flagged during verification so they're on someone's desk before the visit is confirmed. See our prior authorization service →
Verified client reviews

What clients say on Clutch.

Unfiltered, third-party-verified reviews pulled live from our Clutch profile.

Ready to scale insurance verification?

Let's build the squad your practice needs.

A 30-minute call. We'll scope the work, pre-qualify candidates, and give you a realistic go-live timeline.

877-775-3667 · info@helpsquad.com · Hatboro, PA