Insurance Discovery Software for Behavioral Health

Instant Coverage Discovery Even With Limited Details

Many admissions teams struggle when a patient doesn’t have their card, can’t recall their policy details, or provides incomplete information. VerifyTX gives you a reliable way to discover active insurance coverage quickly so you can move forward easily.

Find active coverage fast

VerifyTX searches commercial, Medicaid, and Medicare Advantage payers to identify the correct policy, even from incomplete data. Your team verifies patients on the first call and avoids stalled admissions.

Eliminate manual portal work

Admissions staff no longer switch across payer portals. VerifyTX pulls eligibility, active dates, co-pay, and warnings in one place so you have all you need, when you need it.

Reduce claims denials

Coverage gaps, policy lapses, and wrong plan types often lead to behavioral health claims denials. VerifyTX detects these issues upfront and alerts billing teams before claims go out.

Handle behavioral health carve-outs

Behavioral health benefits differ by plan. VerifyTX flags carve-outs, auth needs, and payer-specific limits so teams avoid bad VOBs and protect reimbursement.

“The product is lightning fast, and so easy to use. In terms of instant verification, there is nothing faster or more comprehensive in my experience. Highly recommend for billing/admissions departments.”

— Matt Walden, Business Development

increase in verified inquiries admitted

Built for Behavioral Health Admissions and Billing

Every feature supports patient intake and RCM workflows. VerifyTX helps teams verify faster, reduce denials, and maintain payer clarity across all locations and programs.

Real-time insurance discovery

VerifyTX identifies active coverage from partial patient information, such as name, DOB, or incomplete subscriber details. Admissions teams can verify patients on the first call, avoiding delaying intake.

Eligibility checks across all payers

Teams get accurate eligibility data for commercial, Medicaid, and Medicare Advantage plans. VerifyTX displays active dates, plan type, copays, and behavioral health carve-outs to prevent billing rework and denials.

Lapse detection and warning alerts

Policy lapses often cause denials. VerifyTX alerts admissions and RCM teams when coverage is inactive, pending termination, or missing required information, protecting revenue before claims reach clearinghouses.

Behavioral health benefit details

Carve-outs, visit limits, and authorization rules vary across payers. VerifyTX pulls these details into a single view so you can set accurate financial expectations, avoid bad VOBs, and prevent denials.

CRM and EHR integration

VerifyTX pushes insurance discovery results and eligibility data directly into your CRM or EHR. This streamlines the admissions-to-billing handoff, giving billing teams clean, actionable patient and payer information from day one.

Trusted by Healthcare Professionals

We had major knowledge gaps at the front desk. Staff didn’t even understand how to check eligibility or what benefits applied to substance abuse. VerifyTreatment gave us the clarity and structure we needed. It’s helped us clean up basic education, catch errors earlier, and streamline everything.

TEANA ELLERBE

Director of Billing

VerifyTx is an essential tool for our reps. Reps can now complete and view verifications directly within Salesforce, significantly improving call flow. The VerifyTx team was absolutely amazing!

LEESA SMITH

Salesforce Administrator

We are a third-party biller and VerifyTX is an excellent eligibility platform. Their customer service is the best around! Highly recommend VerifyTX!

LUKE ALLEN

Director Of Operations

Frequently Asked Questions

VerifyTX finds active insurance coverage even when patient information is incomplete. It cross-checks name, DOB, location, and plan patterns across payer sources, giving admissions teams verified benefits on the first call. This eliminates manual portal work, prevents coverage surprises, and reduces lost admissions.

Yes. When patients cannot recall their plan or subscriber ID, VerifyTX locates possible matches, confirms the correct coverage, and provides eligibility details on the first call. This eliminates guesswork, prevents coverage surprises, and reduces lost admissions.

VerifyTX detects differences between Medicaid, Medicaid Managed Care, traditional Medicare, and Medicare Advantage. It also flags behavioral health carve-outs and state-specific rules, giving admissions teams accurate coverage details and preventing denials caused by incorrect assumptions.

Yes. Insurance discovery, eligibility checks, and lapse alerts flow directly into your workflow system, giving billing teams clean payer data and verified benefits. This reduces back-and-forth, prevents early claim rejections, and ensures financial clarity from admission to billing.

Most denials begin with incorrect coverage data. VerifyTX flags inactive plans, missing authorizations, carve-outs, and policy changes before admission. By addressing issues upfront, facilities protect revenue, prevent coverage surprises, and reduce costly follow-up work.

Yes. VerifyTX handles large operators with multiple programs, payer mixes, and state-specific Medicaid rules. Leadership gains real-time visibility across all locations, tracking verification speed, denial trends, and operational performance, making scale manageable without breaking admissions or billing workflows.