The cheapest denial to prevent
Know what a visit is covered for before it happens.
Eligibility problems are the denials that never needed to happen. Checking coverage before the visit turns a denial six weeks later into a two-minute conversation at the front desk, and tells the patient what they owe while they are still standing there.
Coverage check, before the visit
Member ID
VB-4471-2298
Date of service
14 Sep 2026
Dana R. Whitfield
Vantage Blue, Preferred PPO
- Copay, this visit type
- $35
- Effective since
- 1 Jan 2026
- Deductible
- $1,140 of $1,500 met
- Deductible remaining
- $360
- Out of pocket remaining
- $2,860
- Authorization
- Not required for this visit type
The patient owes $35 today. Nothing about this visit needs prior approval, so it can go ahead as scheduled.
A sample coverage check. Patient and plan are fictional; this returns sample data and does not contact any payer.
Coverage checked before the visit.
Coverage is checked before the visit: whether the plan is active, what the copay is, how much deductible is left, how much of the out-of-pocket maximum remains, and whether an authorization is on file for what is planned.
Problems caught at the desk, not in a denial.
Coverage problems caught before the visit instead of in a denial six weeks later, and a patient who is told what they owe while they are still at the desk.
Every answer shows when it was checked.
Each check shows what the plan reported and when it was checked, so your front desk knows how current the answer is before acting on it.
Works with the rest of Incura
Claims that came back and stayed back
Denials
Denials grouped by what caused them, so rework effort goes where it is most likely to be paid rather than to whatever is on top of the pile.
Denials last month, by root cause
Forty nine denials across four causes. Select one to see the claims behind it.
Office visit, established patient
Larkmoor Care. Plan terminated 9 days before the visit.
$610
Diagnostic imaging
Cardinal Mutual. No approval on file at submission.
$1,240
Minor procedure
Northbridge Health. Modifier missing on a paired service.
$845
Follow-up visit
Keystone Benefit. Coverage active under a different plan.
$385
Laboratory panel
Larkmoor Care. Filed 11 days past the window.
$296
Specialist consultation
Vantage Blue. Approval expired before the visit.
$720
Preventive visit
Cardinal Mutual. Service coded as diagnostic, not preventive.
$430
Office visit, new patient
Tessamer Health Plan. Deductible plan not yet effective.
$515
Showing 8 of 8 sample claims. Payer names are fictional.
What are tomorrow’s visits actually covered for?
It starts with one short call. We walk you through Incura and what it would show you about your own practice’s revenue. No cost, no commitment.
We usually reply within one business day.