Catch Eligibility Issues Before They Hit Billing
Your billing team shouldn't spend hours fixing preventable denials. VOBPro gives admissions the tools to verify benefits correctly the first time so claims go out clean and get paid faster.
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The Revenue Cycle Problem
Your billing team is downstream from admissions. When intake gets it wrong, you're the one who has to fix it, and by then the damage is already done.
Admissions Admits the Client Before Benefits Are Actually Verified
You get the encounter a week later and start working the claim. That's when you discover the plan has a $5,000 unmet deductible, or your facility is out of network under this specific product, or the plan carved out behavioral health to Beacon. Admissions called the number on the card and got a generic benefits confirmation. Nobody caught the carve-out or the fact that this particular plan excludes residential. Now you're stuck trying to collect from a client who thought insurance was covering everything, or you're writing off $18,000 because the family can't pay.
Claims Get Denied for Authorization Issues That Should Have Been Handled Upfront
The client has been in your IOP for three weeks. You submit the claim and it comes back denied because prior auth was required and nobody requested it. Now you're chasing a retro-auth while the client is already discharged, the documentation is incomplete, and the payer is saying they won't authorize services after the fact. You either write it off or spend 6 hours on a peer-to-peer appeal for a $3,200 claim.
You're Constantly Chasing Admissions for Missing Information
The claim is ready to go out but you're missing the subscriber date of birth, or the group number is wrong, or the policy holder's employer isn't listed. You email admissions asking for the info. They forward you to the intake coordinator who handled the call. By the time you get what you need, the claim is delayed by two weeks.
How VOBPro Protects Revenue at the Front End
VOBPro gives admissions the same level of detail your billing team needs to process a clean claim. When intake uses VOBPro, the benefit information flows through to billing with everything required to submit and get paid on the first try.
Accurate Benefits Data Captured at Intake
VOBPro pulls complete plan details including deductibles, out-of-network status, authorization requirements, and behavioral health carve-outs. Admissions sees the same data billing needs.
Fewer Eligibility Denials
When admissions verifies correctly upfront, claims don't come back denied for eligibility issues. Your denial rate drops and days in A/R improve.
Authorization Alerts Built In
VOBPro flags when prior authorization is required and reminds your team to request it before the client is admitted. No more retro-auth appeals.
Clean Data for Claims Processing
Subscriber info, group numbers, policy holder details, and coverage effective dates flow through to your billing system with no manual re-entry.
What This Means for Your Revenue Cycle
Reduction in eligibility denials
Faster claim submission
Improvement in days in A/R
"Our denial rate dropped from 14% to 9% in the first quarter after implementing VOBPro. The billing team is spending less time on rework and more time on actual revenue cycle management."
Billing Director
Multi-Location Behavioral Health Network
Frequently Asked Questions
Does VOBPro integrate with our practice management system or EMR?
Yes. VOBPro integrates with most EMRs and practice management systems through our API. Verification data can flow directly into your billing workflow.
We already verify eligibility through our billing software. Why do we need this?
Billing software verifies eligibility after the service is rendered. VOBPro verifies in real time during intake so coverage issues get caught before the client is admitted. Most facilities use both: VOBPro at the front end to prevent problems, and billing software on the back end for claims processing.
Ready to protect your revenue cycle?
See how VOBPro can reduce denials and improve cash flow
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