Guide to Insurance Verification Charges

Guide to Insurance Verification Charges

Revenue Cycle Management · Pricing

Three verification packages, from fully automated to expert-reviewed, so you only pay for the accuracy your practice needs.

Adit offers three types of Insurance Verification services designed to meet different practice needs, from fully automated verification to expert-reviewed, high-accuracy verification.

EDI ONLY

Basic Verification

$99/month

Includes 300 free EDI verifications
then $0.06 per verification

Verification Type: Fully automated EDI (Electronic Data Interchange) verification

CDT Code Coverage: Up to 40 CDT codes

Process: Adit’s integration pulls eligibility information directly through EDI in real time

✓ No cost for failed verifications

✓ Verified PDFs and notes auto-posted to your EHR

× Does not include manual expert follow-up

EDI + MANUAL

Advanced (Standard)

$99/month

+ $1.00 per advanced verification

Verification Type: Combination of automated EDI verification and manual expert validation

CDT Code Coverage: Up to 20 CDT codes

Process: Adit pulls eligibility via EDI, then it is reviewed and finalized by our expert RCM team for improved accuracy

✓ If EDI fails, the expert team manually verifies the appointment

✓ Any appointment can be upgraded to Advanced anytime

✓ Verified PDFs and notes auto-posted to your EHR

MOST THOROUGH

Advanced (Extensive)

$99/month

+ $2.25 per advanced verification

Verification Type: EDI + manual expert verification for complex or high-volume needs

CDT Code Coverage: 20 to 40 CDT codes

Process: Eligibility is pulled via EDI and fully validated by the expert RCM team, ideal for complex plans such as Medicaid and HMOs

✓ All failed verifications handled by the expert team at no additional cost

✓ Suited for extended code coverage and deeper verification
ADD-ON · ALL PLANS

Same-Day Verification

$6 per advanced verification

Verification Type: EDI + manual expert verification, designed for complex or high-volume needs

CDT Code Coverage: Supports 40 CDT codes

Process: Eligibility is pulled via EDI and fully validated by the expert RCM team, ideal for complex plans such as Medicaid and HMOs

✓ All failed verifications handled by the expert team at no additional cost

✓ Suitable for appointments requiring extended code coverage and deeper verification

Summary of Key Benefits

✓ Flexible verification options based on your practice needs

✓ Automated + expert-backed workflows for higher accuracy

✓ Seamless EHR integration with auto-posted PDFs

✓ No cost for failed verifications across all plans

✓ Ability to upgrade appointments to Advanced verification anytime

If you need help selecting the right plan or enabling features, please contact the Adit Support Team.

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