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FAQs

Getting the most out of VerifyTreatment? Whether you're new to the platform or want to dig into how real-time VOBs work, this is where your questions get answered. We've compiled the most common questions from admissions coordinators, billing teams, and facility operators who use VerifyTX every day.

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How is VerifyTX different than the current system I use for electronic verification?

Most legacy verification systems weren't built for behavioral health, so you're left deciphering confusing carve-outs and trying to figure out what actually applies to your facility. And if a patient's policy lapses while they're in treatment? You often don't find out until it's too late.

VerifyTreatment is purpose-built for behavioral health facilities. We give you coverage across 1,800+ payers and translate everything into clear, easy-to-understand information specific to substance abuse and mental health coverage. You can schedule bulk re-verifications (daily, weekly, monthly, or ad-hoc) to catch lapsed policies before you're stuck providing uncompensated care.

Plus, the mobile app lets your admissions team run verifications from anywhere.

What insurance carriers can I access on VerifyTX I may not be able to check on my current systems?

We cover all major carriers like Aetna, BCBS, Cigna, Humana, and United, but we don't stop there.

VerifyTreatment covers 1,800+ payers, including regional carriers and plans that traditional systems miss: UMR, Oxford, Meridian, Molina, OptimaHealth, Priority Health, Medical Mutual, Preferred One, Qualcare, Amerihealth, UPMC, GHI, Core Source, GEHA, Healthsmart, Harvard Pilgrim, Health Alliance, Health Net, and many more.

We also verify Medicare, Medicaid, private insurance, and marketplace plans, covering virtually every payor your patients might have. And if you're working with a carrier we don't currently have in our system, we'll work directly with your facility to add it.

Will this replace calling the insurance company directly?

For most verifications, yes. VerifyTreatment gives you real-time coverage across 1,800+ payers, so you get accurate benefit information without spending time on hold.

That said, there are occasional situations where you might still need to call (complex carve-outs, specific facility requirements, or if you need verbal confirmation). Think of VerifyTX as your first line of defense that handles 95% of your verifications instantly, with phone calls reserved for the edge cases.

Where does the information come from and how do I know it is accurate?

We connect directly to insurance company databases and clearinghouses. When you input patient information, VerifyTreatment retrieves the data straight from the source in real time. You're getting the same information the insurance company has, just faster and without the phone call.

What information will be provided by VerifyTX?

VerifyTreatment gives you all the key benefit details you need to make admission decisions quickly: policy status (active/inactive), policy type, deductible and out-of-pocket amounts (both met and remaining), co-insurance percentages, co-pays, plan name, and any payer-specific notes about coverage.

Everything is presented in a clear, easy-to-read format built specifically for behavioral health admissions, so you know exactly what the patient's financial responsibility will be before they walk through the door.

Is VerifyTX HIPAA compliant?

Absolutely. Given the sensitive nature of our business, we take HIPAA compliance and security seriously. VerifyTX uses SSL 128-bit encryption, and your data is treated with bank-level security, encrypted at all times and regularly backed up. All users agree to our business associate agreement when using the service.

What do I need to begin using VerifyTreatment?

Just your facility's NPI number and a few minutes to get set up. You can book a personalized demo to see how VerifyTX works for your specific workflow, or contact our team and we'll walk you through the onboarding process.

We must call the insurance company before admitting a patient, can we still use the service?

Yes. VerifyTreatment speeds up your verification process so you have the information you need before you make that call. You'll know exactly what questions to ask, what coverage applies, and whether there are any red flags, which makes your required call faster and more productive. Many facilities use VerifyTX to handle the heavy lifting, then make confirmation calls as needed.

Do I need an NPI number to check client insurance?

Yes, you'll need your facility's NPI number to run verifications. If you don't have it handy, you can look it up on the NPI Registry or use our NPI Lookup tool.

Can I verify ACA policies on VerifyTX?

Yes. VerifyTreatment verifies ACA marketplace plans along with private insurance, Medicare, and Medicaid. If your patient has coverage through the healthcare exchange, we can verify it.

Why does some insurance not give me all of the benefit / eligibility information?

We provide whatever information the insurance company makes available through their database or clearinghouse. Sometimes carriers don't release complete details electronically, especially around specific behavioral health carve-outs.

If you're consistently running into gaps with a particular carrier or plan type, reach out to us at support@verifytx.com and we'll see what we can do to improve the data we're pulling.

What do I do if I fail to get a response from the insurance company?

First, double-check that all patient information was entered correctly (spelling, date of birth, policy number, etc.). Small errors can prevent a successful verification.

If everything looks accurate and you're still not getting a result, contact us at support@verifytx.com and we'll help troubleshoot. The good news: you only use credits for successful verifications, so failed attempts don't cost you anything.

Do you have a guide so that my team can get started?

Yes. We provide in-app guides available 24/7, plus personalized training to make sure your team feels confident using the platform. You can schedule training here at a time that works for you, or contact us at info@verifytx.com if you need help getting set up.