Eligibility Verification Services
Wherever patient coverage determines payment, human judgment still wins.
We’ve verified coverage across payer systems. Consistent across verifiers and payer systems. Your benefit complexity isn’t a barrier to us.
Insurance cards, payer portals, coverage details, benefit structures—eligibility verification is the foundation of clean claims. Automation can query systems, but it can’t interpret complex benefit structures or resolve discrepancies between what patients present and what payers confirm.
Before you outsource anything, we’ll walk through your current operations with you and assess:
Where automation genuinely helps
Where human judgment is required
Whether outsourcing makes sense & how to do it cleanly
The Real Problem
Most teams don’t struggle to check eligibility. They struggle to verify it accurately and completely.
Automation generates speed, but it also generates risk
Automated eligibility checks miss secondary coverage
Benefit details require interpretation beyond yes/no responses
Coverage changes between verification and service create denials
Self-pay identification errors lead to collection problems
When eligibility drives the entire revenue cycle, “checked” isn’t the same as “verified.”
Where Human-Led Operations Still Win
Real-Time Eligibility Verification
Benefit Interpretation
Secondary Insurance Discovery
Patient Communication Support
Eligibility Database Management
Your Operations May Be Different—That’s Fine
Most of our client work is bespoke. The categories above reflect our core expertise, but we’re always open to custom requirements. If your operations share the same fundamentals—high volume, real stakes, and the need for human follow-through—we should talk.
What Assivo Actually Does
Assivo provides managed eligibility verification operations, with 99.7% accuracy rates, dedicated teams across four global offices, and fixed-price structures aligned to outcomes.
We take ownership of:
Process Design & Documentation
Dedicated, Trained Offshore Teams
Multi-layer Quality Assurance
Clear SLAs, Reporting, & Escalation
Strategic Human-in-the-Loop Governance
Automation scales the work. Humans own the result.
Three principles guide every engagement
Humans where benefit interpretation, coverage complexity, and patient communication require judgment
Automation where eligibility queries and status checks make sense
Clear ownership when something breaks
Quiet execution. Clear ownership. No surprises.
Why Assivo
Founded in 2017, Assivo applies the rigor of institutional finance and strategy consulting to outsourced operations, with a focus on clear accountability, fixed-price commercial structures, and outcome-oriented delivery. As an independent, privately held firm, Assivo structures partnerships around client priorities, emphasizing continuity, transparency, long-term relationships, and client integrity.
Accuracy-first Execution
Every deliverable passes through multi-layer quality review before it reaches you. We measure in defect rates, not just throughput.
Strategic Human-in-the-Loop Governance
Automation handles volume. Human judgment handles exceptions, edge cases, and the decisions that affect outcomes.
Managed Teams, Not Seat-based Staffing
You get a trained team that learns your processes, not a rotating pool of contractors. Our annual turnover is ~15%—a fraction of the 50% industry average. Continuity drives quality.
Offshore Efficiency, Onshore Standards
Our global teams operate under U.S.-caliber management, documentation, and accountability structures.
Clear Accountability from Intake to Output
One point of contact. Defined SLAs. Transparent reporting. When something goes wrong, you know who owns the fix.
Trusted by America’s Leading Operators
Before you outsource anything, we’ll walk through your current operations with you and assess:
Where automation genuinely helps
Where human judgment is required
Whether outsourcing makes sense & how to do it cleanly