Service Overview
Know the Patient’s Benefits Before Services Begin
HillCrest Medical Billing Services provides professional Verification of Benefits (VOB) Services designed to help healthcare providers understand a client’s insurance coverage before services are provided.
Insurance benefits can vary significantly by plan, provider network, service type, diagnosis, authorization requirements, deductibles, copayments, coinsurance, visit limits, and other plan-specific conditions. Our VOB team contacts insurance plans and reviews available benefit information to help practices obtain a clearer understanding of the client’s coverage.
From eligibility verification and benefit checks to copay, deductible, coinsurance, out-of-pocket information, network status, authorization requirements, and benefit limitations, we help healthcare providers obtain and organize important insurance information before or during the course of care.
Whether you operate a solo practice, behavioral health practice, specialty clinic, therapy practice, medical practice, or multi-provider organization, HillCrest provides structured VOB support tailored to your workflow.
What’s Included
- Insurance Eligibility Verification
We verify whether the client's insurance coverage is active for the requested date of service and review available eligibility information provided by the payer.
- Benefits Verification
We contact the insurance plan or use applicable payer portals to obtain available benefit information for the requested healthcare services.
- INN & OON Verification
We verify whether the provider is participating with the client's insurance plan and, where applicable, review available out-of-network benefit information.
- Copay Verification
We identify applicable copayment information for the service or provider type based on the benefit information available from the payer.
- Deductible Verification
We review deductible information, including applicable individual and family deductibles and available accumulated amounts when provided by the payer.
- Coinsurance Verification
We verify applicable coinsurance requirements and document the information provided by the insurance plan.
- Out-of-Pocket Maximum
We review available individual and family out-of-pocket maximum information and accumulated amounts when provided by the payer.
- Authorization & Referral Requirements
We identify whether prior authorization, pre-certification, referral, or other payer requirements may apply to the requested service.
Ideal For
Our VOB services are designed for healthcare organizations that want reliable insurance benefit information before providing services.
- Solo Healthcare Providers
- Behavioral & Mental Health Practices
- Therapy Practices
- Specialty Medical Practices
- Small & Growing Practices
- Multi-Provider Practices
- Clinics & Outpatient Facilities
- Multi-Location Healthcare Organizations
Why It Matters
Understand Coverage Before the Appointment
Insurance eligibility does not always mean that a particular service will be covered under the client’s plan.
A client may have active insurance but still have a deductible, copayment, coinsurance, network restrictions, authorization requirements, visit limitations, or other benefit conditions that affect their financial responsibility.
Obtaining benefit information before services are provided can help practices improve their front-office workflow, communicate available insurance information to clients, and reduce avoidable billing surprises.
HillCrest Medical Billing Services helps healthcare providers obtain and organize insurance benefit information so their teams can make more informed administrative and billing decisions.
Verify First. Document Clearly. Bill With Greater Visibility.
Our Medical Billing Process
1
Receive & Review
We receive the client's insurance information and review the available details needed to perform the eligibility and benefits verification.
2
Verify Eligibility
We check the insurance plan's available eligibility information for the applicable date of service.
3
Verify Benefits
We review applicable benefits, including network status, copay, deductible, coinsurance, out-of-pocket information, limitations, and other relevant requirements.
4
Document & Report
We organize the information obtained from the payer into a clear VOB record that can be used by the practice's administrative and billing teams.
Contact Us
Let Us Handle Your Insurance Verification
Trusted By Providers Nationwide
Testimonials
Trusted By Healthcare Providers Nationwide
Supporting Practices With Reliable Insurance Verification
Healthcare providers rely on timely eligibility and benefits information to better understand coverage requirements and organize their front-office and billing workflows.
Serving Healthcare Providers Nationwide.
Primary Care | Behavioral Health | Mental Health | Psychiatry | Psychology | Physical Therapy | Cardiology | Internal Medicine | Family Medicine | Pediatrics | Orthopedics | Dermatology | Neurology | Women's Health |
How We Work
What Makes Our EOB Services Unique?
Insurance benefits can be complex, and the information provided by a payer may depend on the specific plan, service, provider, network status, and date of service.
- Comprehensive Benefit Verification
We review multiple elements of available insurance benefits rather than limiting verification to basic eligibility.
- Service-Specific Verification
We verify benefits based on the requested service and available payer information to help practices understand applicable coverage conditions.
- Detailed Documentation
We document the information obtained during the verification process so the practice has a clear record of the payer response.
- Network Status Review
We verify available information regarding participating and non-participating provider status and applicable benefit structures.
- Frequently Asked Questions
Find Answers to Most Common VOB Related Questions
Insurance benefits can vary by plan and may be subject to deductibles, copayments, coinsurance, authorization requirements, network restrictions, and other conditions.
VOB stands for Verification of Benefits. It is the process of contacting an insurance plan or checking an applicable payer system to obtain information about a client's eligibility and available insurance benefits for healthcare services.
Eligibility verification primarily determines whether insurance coverage is active. VOB goes further by reviewing available benefit information, such as copays, deductibles, coinsurance, out-of-pocket amounts, network status, limitations, and authorization requirements.
Depending on the payer and service, we may verify eligibility, network status, copay, deductible, coinsurance, out-of-pocket maximum, visit limitations, authorization requirements, referral requirements, and other available benefit information.
Yes. We can provide VOB support for behavioral and mental health providers, including psychotherapy and psychiatric services, subject to the information available from the payer.
Yes. New-client insurance verification is a common use of VOB services and can be incorporated into a practice's intake workflow.
Yes. Practices can use ongoing eligibility and benefit verification for returning clients, particularly when coverage or benefit information may have changed.
Where available, we can verify whether the plan provides out-of-network benefits and document the applicable information provided by the payer.
