Verified to Heal
Insurance Verification
62%
Cost Reduction
up to
95%
Pre-Service Verification
Workflow: Insurance Verification
Industry: Healthcare
Annual Transactions: 600,000+
For providers, the first obstacle to care wasn’t clinical—it was financial clarity. Insurance rules shifted by payer, prior authorizations dragged, and incomplete verification left patients uncertain and providers exposed to denied claims. The result: delayed care, revenue leakage, and frustration on both sides of the encounter.
FTO transformed the process by embedding insurance verification specialists who operated as an extension of front-office teams. Real-time eligibility checks, payer-specific playbooks, and automated authorization tracking ensured accuracy from the start. Coverage details flowed seamlessly into registration, while variances were flagged before they could stall a claim.
The change strategy was simple but powerful: structured onboarding, real-time dashboards for accuracy and timeliness, daily QA audits, and continuous coaching to adapt as payer rules evolved.
In just months, 90–95% of cases were verified pre-service, registration accuracy surpassed 95%, and clean-claim rates exceeded 95%. Denials dropped, reimbursements accelerated, and financial clarity became a natural part of the care experience.