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Complete Radiology Eligibility Verification Services

RBS verifies imaging-specific coverage and authorization status for every scheduled study, 24–48 hours before the patient arrives, so your center never scans against unconfirmed benefits and never files a claim built on guesswork.
Where Revenue Disappears

3 Ways Unverified Eligibility Drains Your Imaging Center

Eligibility-related denials are the single largest preventable loss in radiology billing, and the verification step is the one most often rushed, left to an automated portal, or skipped under scheduling pressure.

Prior auth gaps are the #1 cause of denied imaging claims

Not coding errors. A missed or expired authorization is more likely to sink a claim than any coding mistake.

Generic portals miss AUC and site-of-service rules

Portal checks confirm active coverage but miss modality-specific exclusions and appropriate-use-criteria requirements.

A denied scan isn't just lost revenue

It's a rescheduled patient and a delayed diagnosis — a clinical cost, not just a financial one.

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Processed Claim Value
$ M+
Avg. A/R Collection Time
0 Days
Turn Around Time (TAT)
0 Hours
Client Retention Rate
0 %
Annual Claims
0 .7M+
First-Pass Claim Rate
0 %
Avg. Revenue Growth
8 - 9 %
Avg. Denial Reduction
0 %
Every Payer, Zero Guesswork

Coverage Confirmed for Every Payer You Work With

From national carriers to regional Medicaid plans, coverage is checked against the exact payer, plan, and product type on file — never a generic match. Every result reflects current payer policy, not outdated data from months ago.
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana
medicare
Medicaid
Molina health
Ambetter health
cigna
Elevance Health (Anthem)
United healthcare
aetna
Blue cross Blue shield
OSCAR health
Health Net
Kaiser Permanente
tricare
wellcare
Humana
Portal Check vs. Full Verification

Why Full Verification Beats a Portal Check Every Time

What a Portal Spot Check Misses

Confirms active coverage, nothing more

AUC and prior-auth requirements not flagged

Site-of-service restrictions discovered after scheduling

Front desk loses hours to manual lookups

Eligibility denials remain the top write-off source

What RBS Delivers

One specialist owns every patient's benefit breakdown

AUC, prior-auth, and modality limits confirmed up front

Site-of-service rules verified before the study is scheduled

Zero front desk time spent on eligibility

98% accuracy, denials reduced to near zero

Every Verification Your Cycle Depends On

Complete Radiology Eligibility Verification Services

Every verification your revenue cycle depends on, handled by one dedicated team and tracked to completion.

Full Benefit Breakdown

Deductibles, co-insurance, annual maximums, and site-of-service rules are fully documented for every scheduled radiology study, giving your entire clinical and billing team a complete, reliable benefit picture upfront.

Prior Auth & AUC Filing

Authorization and appropriate-use-criteria requirements are filed, tracked, and confirmed well ahead of the scheduled imaging date, so no study is ever delayed or unexpectedly denied later on.

Modality Coverage Checks

CT, MRI, PET, and interventional coverage is carefully and thoroughly verified against the exact plan on file, never a generic assumption based only on broad plan type, coverage tier, network, or category.

Site-of-Service Verification

In-network facility and site restrictions are carefully confirmed before the patient is scheduled, never discovered afterward when it’s already far too late to make any meaningful change, correction, or adjustment.

Real-Time Payer Rule Updates

Verification always reflects current payer policy in real time, never last quarter’s outdated rules, keeping every confirmed benefit accurate and dependable no matter when your team happens to recheck it.
front office

Front Desk Handoff

Confirmed benefit summaries are delivered directly and instantly to scheduling, with zero manual lookup ever required from your busy front desk team, no matter how demanding or hectic the day gets.

Wired Into Every System You Already Run

Your EHR, RIS, and PACS stay exactly as they are. We plug our coding workflow directly into what you already use — no migration, no new login for your radiologists, no disruption to how your team already works.
Coded for Your State, Not Just Your Specialty

Trusted by Radiology Practices Across All 50 States

Payer documentation rules and scope-of-practice regulations vary meaningfully by state. Our specialists are trained on state-specific requirements, not just national standards, so your geography is never a variable in our accuracy.
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Frequently Asked Questions

How far in advance do you verify eligibility?

24–48 hours before the scheduled study, giving your team enough lead time to resolve any authorization or coverage gap well before the patient actually arrives for their appointment.
A portal simply confirms active coverage, nothing more. Full verification confirms AUC compliance, prior authorization status, and site-of-service restrictions — the exact details that actually cause most denials.
Both, fully. We file, track, and confirm prior authorizations and AUC requirements ourselves, not just check whether one happens to be needed for that particular study.
We flag it clearly before the patient is ever scheduled, giving your team real time to address it instead of discovering the issue after the scan and the resulting claim denial.
Yes, seamlessly. Confirmed benefit summaries are delivered directly into your existing scheduling workflow — no new login, no new software, no extra system for your front desk.
Clients typically see first-pass rates climb toward 98% once eligibility-related denials, consistently the largest preventable denial category, are properly addressed at the source instead of after the fact.S

Your Practice Deserves Verified Coverage, Every Time

Denied claims. Rescheduled scans. Authorization rejections. That’s your uncollected revenue. RBS recovers it. Most imaging centers find measurable leakage tied to unverified eligibility alone. Start with the audit — we review your current claims, denial patterns, and eligibility workflow at no cost and no commitment. You’ll know exactly what’s recoverable before you decide anything.

Verified 24–48 hrs before every scan

AUC and prior-auth confirmed, not just coverage

Site-of-service and modality limits checked

One dedicated specialist, not a shared queue

Zero front desk time on eligibility

Always current payer rules, never outdated

98% accuracy, denials near zero

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What Our Clients Say?

Rebecca Lawson

★★★★★

Radiology Practice Manager

Since partnering with your radiology billing team, our billing workflow has become much smoother. They understand imaging procedures, payer requirements, coding, and claim follow-ups. Their team is responsive, professional, and always stays on top of outstanding claims.

Dr. Christopher Bennett

★★★★★

Medical Director, Diagnostic Imaging Center

Your team truly understands the challenges of radiology billing. They handle claims accurately, follow up on unpaid accounts, and help resolve billing issues efficiently. Their expertise and communication have made our revenue cycle more organized and reliable.

Dr. Andrew Whitaker

★★★★★

Radiologist & Imaging Center Owner

Our team has been an excellent partner for our imaging center. They understand radiology billing, coding, claim submission, denials, and follow-ups. Their attention to detail and consistent communication have helped streamline our billing process and improve our revenue cycle.

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