Eligibility & Prior Authorization
Eligibility verification and prior authorization are the pre-visit steps that confirm a patient's insurance coverage and secure any required approvals before services are provided. Jaspire handles both, stopping avoidable denials before a single claim is ever submitted.
What this service includes
- Insurance eligibility and benefits verification
- Coverage, copay, deductible, and coinsurance checks
- Prior-authorization submission and tracking
- Confirmation of requirements before the visit
- Clear handoff of verified details to your front desk
Why front-end verification prevents denials
A large share of denials trace back to problems that could have been caught before the visit — inactive coverage, services that needed authorization, or benefits that don't apply. Verifying eligibility and securing prior authorization up front removes those failure points, so more claims are paid on first submission.
Our approach
We verify each patient's coverage and benefits ahead of the appointment, identify services that require prior authorization, and submit and track those authorizations to approval. Your front desk receives verified details in time for the visit, reducing surprises for both staff and patients.
Who this service is for
Eligibility and prior-authorization support helps practices with high authorization requirements, frequent eligibility-related denials, or front-desk teams stretched too thin to verify every patient consistently.