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Revyn RCM
Eligibility & Prior Authorization

Front-end checks that stop denials before they start

A large share of denials trace back to front-end errors. Revyn verifies eligibility and secures authorizations up front, so claims go out clean the first time.

Why are eligibility and prior authorization so important?

A large share of denials trace back to front-end errors — inactive coverage, missing authorizations, or wrong patient details. Revyn verifies eligibility and benefits and secures prior and retro authorizations up front, so claims go out clean.

Do you handle retro authorizations?

Yes, where payers allow them. We pursue retro authorizations to rescue claims that would otherwise be denied for missing prior auth.

Eligibility & Prior Authorization — frequently asked questions

We verify ahead of scheduled visits so coverage issues are caught before the patient is seen, not after the claim is denied.

Ready to find the revenue you're leaving on the table?

Get a free, no-obligation billing review. We'll analyze your denials and A/R and show you exactly where Revyn can help.