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Eligibility verification
Active coverage, plan type and network status confirmed in real time.
Helix verifies benefits in real time and secures prior authorizations ahead of every appointment — so coverage is confirmed, copays are known, and claims don't bounce for eligibility or auth.
Coverage, copay, deductible and limits before the visit.
Requests filed with clinical docs and tracked to approval.
CO-22, CO-27 and CO-197 stopped at the source.
Accurate copay info means fewer surprise balances.
Eligibility and authorization handled ahead of every visit so nothing denies on the back end.
Active coverage, plan type and network status confirmed in real time.
Copay, coinsurance, deductible and visit limits captured for the front desk.
We flag which services need prior authorization for each payer.
Requests filed with clinical documentation and medical-necessity support.
Followed to approval, with the auth number attached to the claim.
Coverage and copay details delivered before the patient arrives.
Service required an auth that wasn't obtained before care.
Another payer is primary; claim sent to the wrong one first.
Patient's plan was inactive on the date of service.
Member ID or demographics don't match the payer's records.
Upcoming appointments pulled from your system daily.
Eligibility and benefits checked in real time, 48–72h ahead.
Required auths filed and tracked to approval.
Coverage, copay and auth details to your front desk.
"Half our denials were auth and eligibility problems we should have caught up front. Helix moved that work before the visit and the denials basically vanished."
A surgical ortho group with heavy prior-auth requirements was losing claims to CO-197 and CO-27, while the front desk burned hours on day-of verification and surprise copays.
Helix took over pre-service eligibility and auth, verifying every appointment 48–72 hours ahead, securing auths with clinical documentation, and handing clean coverage detail to the front desk.
Auth-related denials fell 82%, 99% of visits were verified before service, front-desk rework dropped 47%, and roughly $224K in annual denials were prevented.
Representative composite based on Helix engagement outcomes. Individual results vary.
"High-cost imaging lives or dies on the auth. Helix made sure it was always in place before the scan."
"Patients knew their copay before they walked in. The surprise-bill complaints just stopped."
Book a free consultation and we'll review how many of your denials could be stopped before the visit.