Real-time Medicaid eligibility verification for behavioral health. Verify coverage in seconds, see benefit details, and catch policy lapses before they cost you. Manage Medicaid eligibility across all 50 states in one login, available 24/7.
Trusted by 30,000+ active users nationwide
Access real-time eligibility from state Medicaid files, see behavioral health carve-outs other platforms miss, and catch terminated coverage before it costs you thousands.
Access real-time eligibility from state Medicaid files while the caller is on the line.
See co-pays, deductibles, and behavioral health carve-outs in real time, including detailed benefits for SUD and mental health treatment levels.
Our real-time system is available 24/7/365, so admissions teams can verify during evenings, weekends, and holidays.
Locate active Medicaid coverage even with incomplete patient data. Reduce verification dead-ends and uncover billable policies.
“What used to take us over an hour now takes minutes. The intake team doesn’t need to rely on us anymore just to verify benefits.”
— JoElle Vincent, Business Office Director at Low Country Behavioral Health35%
increase in verified inquiries admitted
Stop reacting to denials. Start preventing them. Our platform delivers the eligibility details, lapse detection, and seamless handoffs needed to protect revenue from the very first intake call.
See co-pays, deductibles, and behavioral health carve-outs in real time. Go beyond "active" status to make confident financial decisions. Know patient responsibility upfront—before admission, not after discharge.
Locate active Medicaid coverage even with incomplete patient data. Reduce verification dead-ends and uncover billable policies. A unique capability most Medicaid verification tools lack.
Automatically flag inactive Medicaid policies across your entire census. Catch the root cause of 85% of eligibility denials before claims go out. Most facilities find at least one lapsed policy per week—that's $7-10K saved every time.
Run Medicaid verifications and attach results directly to contact records. Eliminate duplicate entry and ensure perfect admissions-to-billing handoffs. Keep your workflow in one system.
Automated alerts for benefit changes, authorization requirements, and Medicaid carve-outs, logged as internal payer notes so admissions has clarity before intake. Provide clear patient financial responsibility upfront.
Manage Medicaid eligibility across all 50 states in one login. Our platform handles state-specific rules and system nuances, so expanding services or opening new locations doesn't break your verification workflow.
We verify our census at least once a week, and catch a minimum of one termed policy each time with VerifyTX. That translates to several thousands of dollars a week saved.
Matt HirschExecutive VPVerifyTX delivers near-immediate benefit verification at your agents’ fingertips. Simple to install and configure, easy to extend with Salesforce, and backed by a responsive, collaborative team. We tried multiple solutions before switching and are glad we did. Painless, effective, and affordable.
BRAD OVERLUNDDirector of Operations, Healthcare ServicesYou’ll see the full financial picture needed for behavioral health: coverage dates, member IDs, co-pays, deductibles, and—critically—detailed benefits for SUD and mental health treatment levels (e.g., inpatient residential, intensive outpatient). We show you the carve-outs and authorizations so you know exactly what is covered before admitting.
Up to 85% of denials stem from eligibility issues like inactive policies or missed coverage changes. Our platform provides real-time, accurate data and includes automated lapse detection that actively monitors your census for terminated coverage. This allows you to address problems before services are rendered and claims are submitted.
Yes. Unlike calling state Medicaid offices, our real-time system is available 24/7/365. This is essential for admissions teams handling intake calls during evenings, weekends, and holidays, ensuring you never miss an opportunity to help someone ready for treatment.
It works natively inside your CRM. Install the VerifyTX component, and your team can run a verification from any lead, contact, or account record with one click. All results—coverage details, notes, and the verification timestamp—are written back to the record. This eliminates duplicate data entry and creates a perfect handoffs.
Our insurance discovery feature locates active Medicaid and commercial policies even with incomplete data. This drastically reduces "no insurance found" dead-ends and helps you locate billable coverage that manual verification misses.
All 50 states. Our platform accesses 1,800+ payers, including state Medicaid programs, Medicaid managed care plans, and commercial insurers. We handle state-specific rules and system differences automatically.
Most clients are up and running in days, not months. Because our platform is cloud-based, not a legacy enterprise system, implementation is fast. Our team handles setup and provides dedicated support to ensure your team is successful.
Join 30,000+ users using real-time Medicaid eligibility verification to admit faster, reduce denials, and protect revenue.
