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How it works

We verify each patient's insurance
before their appointment.

For every upcoming session, Veriframe checks what insurance will cover and what the patient owes, then writes it into your chart, so your team doesn't have to.

What we check before each appointment

What we check

Before each appointment, we work through every detail that determines what the patient owes and whether the visit gets paid, eligibility, benefits, carve-outs, prior authorizations, visit limits, and more.

What the patient owes

The right amount to collect

Copay, coinsurance, and how much of the deductible is met. Your team collects the correct amount up front, so no one gets a surprise bill.

Whether the visit gets paid

Denials caught before they happen

Eligibility, prior authorization, visit limits, in-network status, and any carve-out. We check everything that causes a claim to be denied, not just the copay.

How the work runs

Done before your day starts.

Your upcoming schedule is worked ahead through payer portals so results are waiting in the chart when you open.

01

Connect once

A one-time, secure connection to your EHR under a signed BAA. Set up once, reused daily.

  • HIPAA
    compliant
  • BAA
    on file
02

We verify ahead

Every patient checked against the right payer, eligibility, copay, deductible, carve-out, prior auth, limits.

  • Hours saved
    each day
  • Payer rules
    handled
03

It lands in the chart

The full benefit picture, written back in one standard format. Anything urgent, flagged. Nothing left blank.

  • Documented
    in EHR
  • Ready for your
    clinical team
The core skill

The card says one thing.
The benefits often live somewhere else.

This is what makes behavioral-health verification different and where denials are made or prevented.

Patient hands you
UHC card
→
BH benefits live at
Optum
Patient hands you
Cigna card
→
BH benefits live at
Evernorth
Patient hands you
Anthem / BCBS card
→
BH benefits live at
Carelon

Many medical plans “carve out” behavioral health to a separate administrator, Optum, Carelon, Magellan, or Evernorth. The portal to check and the entity to call isn't the company on the card.

Verifying against the medical plan when benefits are carved out returns the wrong copay, misses the real authorization rules, and leads straight to a denied claim. Following the carve-out correctly is the single highest-value judgment in the work, and we confirm it for each patient and each plan.

What you actually get

The denial that never happens. The bill that's never a surprise.

No new software, no portal to log into. A trained specialist has already read the benefits, carve-outs and all, and left the answer in the chart you already use. Your team simply opens their daily schedule.

Patient chart · your EHR
✓ Verified by Veriframe · Jun 23
CoverageActive · in-network
PlanUnitedHealthcare (behavioral health administered by Optum)
Patient owes$30 copay · $500 left on deductible
Behavioral / telehealthCovered
Prior authNot required
Visit limitNone
Ready to seeNo action needed before the visit

That single confirmed line is the work: the carve-out caught, the prior-auth rule checked, eligibility confirmed for the date of service.

Miss any one of them and it becomes a denied claim or a surprise bill. Getting every one right, for every patient, before they walk in, that's what you're paying for. Not the note. The certainty behind it.

Exceptions, surfaced early

Nothing buried. Anything urgent, flagged before the visit.

Urgent, flagged to you promptly

Policy inactive
No coverage on the date of service. Reach the patient before the visit.
Prior auth required
Session may not be reimbursed without it, the #1 denial driver in BH.
Service not covered
Claim will be denied as billed. The practice decides how to proceed.

Standard, noted for check-in

Deductible unmet
Set patient cost expectations at check-in.
Out-of-network
Reduced or no benefits for this provider, expectations set early.
Unable to verify
Reason noted (e.g. ID mismatch); retried or escalated on corrected info.
Who does the work

Founder-led, checked twice, accountable to you.

Veriframe is founder-led. Engagements run directly under the founders, a former Goldman Sachs investment professional and a doctoral-level psychologist, and we deliberately take on a limited number of practices at a time so that standard holds. Your account is never handed to a call center.

Every verification follows the same documented procedure, correct administrator first, then eligibility, benefits, authorization, limits, and telehealth, and every one is reviewed under quality assurance before it lands in your chart. Not sampled. Every verification.

All of it happens under a signed BAA, inside documented, secure procedures. How we operate →

Verification,
fully handled.

Every session verified before it happens. Carve-outs caught, claims paid, your team free. Let's get you live.

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