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.