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Service 03 · Patient Access

Start the revenue cycle before the visit.

Registration, eligibility, benefits, and authorization — coordinated before the patient ever reaches the front desk, so financial clearance never slows down care.

Pre-Visit

Financial clearance

Real-Time

Eligibility checks

Tracked

Every authorization

Clear

Patient communication

The Problem

Most denials are decided before the patient ever arrives.

Eligibility gaps, missing authorizations, and unclear coverage rarely get caught until the claim is already denied. Front-desk staff end up doing payer research in real time, while patients wait. Moving this work earlier — days before the visit — is what actually prevents the denial.

Workflow

AI + experts, every stage.

How patient access & support moves through Revaxia, from start to finish.

01

Pre-registration

Patient and insurance information is collected and verified ahead of the visit.

Payer

UnitedHealthcare

Collected

Payer

UnitedHealthcare

Program

UHC · Commercial

UnitedHealthcare · step 1

02

Eligibility & benefits

Coverage, copay, and deductible status is confirmed with the payer directly.

Payer

Aetna

Confirmed

Coverage

Active

Copay

Confirmed

Aetna · step 2

03

Prior authorization

Authorization requests are submitted and tracked against payer turnaround times.

Payer

Kaiser Permanente

Submitted

Auth Status

Pending

Turnaround

Tracked

Kaiser Permanente · step 3

04

Referral management

Referrals are verified and linked to the correct ordering provider.

Payer

Centene

Linked

Referral

On file

Ordering NPI

Confirmed

Centene · step 4

05

Financial clearance

Patients are informed of their financial responsibility before the date of service.

Payer

Florida Blue

Cleared

Responsibility

Communicated

Visit

Ready

Florida Blue · step 5

Financial clearance shouldn't happen at check-in.

By the time a patient reaches the front desk, most of the information needed to avoid a denial should already be confirmed. Revaxia moves eligibility, benefits, and authorization work earlier in the process, so registration is a formality rather than a scramble.

What this looks like

Pre-visit clearance
Authorization tracking
Clear patient communication
Today's Queue

Authorizations tracked before they become urgent.

Every pending authorization is visible against its payer-specific turnaround time, so nothing is discovered the morning of the appointment.

Authorization queue

Today's Authorization Queue

7 in queue

UnitedHealthcare

UHC · Medicare Advantage · CPT 73721

Approved

Centene

Wellcare · Medicare · CPT 93306

Approved

Molina Healthcare

Molina · Medicaid · CPT 45378

Approved

Oscar Health

Oscar · Marketplace · CPT 29881

Pending

UnitedHealthcare · Centene · Molina · Oscar Health

Not Another Vendor

An extension of your team, not a hand-off.

Intelligence

Every stage of Patient Access is designed to improve with use — patterns from one claim inform how the next one is handled, instead of repeating the same fixed process.

Speed

Structured onboarding means the workflow is operating on your claims quickly, without a long parallel-run period before you see anything change.

Transparency

You see the same data we do — claim status, denial reasons, turnaround time — not a monthly summary that arrives after the fact.

Adaptability

The workflow is built around your systems and payer mix, not a fixed process you have to adjust your organization to fit.

Included Capabilities

What's covered under Patient Access.

Patient Registration
Insurance Verification
Eligibility Checks
Prior Authorization Support
Referral Management
Appointment Support
Patient Communication
Pre-Registration
Quality & Controls

Built-in quality, not a final review step.

Early verification

Eligibility is checked days before the appointment, not the morning of.

Authorization tracking

Every pending authorization is tracked against its payer-specific deadline.

Clear patient communication

Patients understand their financial responsibility before they arrive.

Purpose Built

Built for your organization, whatever shape it takes.

If you run a revenue cycle at any scale, this is built to fit it — not the other way around.

Team members reviewing documentation together
Healthcare and financial teams collaborating
Nurse preparing for a shift

Accountable Care Organizations

Recovering underpayments that erode shared savings, with denial patterns fed back into coding and documentation quality.

FQHCs

Structured workflows that hold up against state-specific requirements, without adding administrative headcount.

Community Health Centers

Revenue support built for limited-resource environments — balancing financial stability with the mission of the organization.

Multi-Specialty Physician Groups

Coding and billing coordinated across every specialty in the group, with consistent quality controls throughout.

Not seeing your organization type here? Tell us how your team works.

Talk to Us
Empowering Every Function

Built for every stakeholder in your revenue cycle.

Revenue Cycle Leaders

A workflow with clear ownership at every stage, and visibility into where claims actually stand.

CFOs & VPs of Finance

Clearer visibility into cash flow, A/R, and payer performance — without waiting on a monthly report.

HIM & Coding Directors

Specialty-matched coding support with documentation-first quality controls and a continuous audit cycle.

Operations Leadership

Repetitive administrative work absorbed by structured automation, so headcount doesn't have to scale with volume.

What Connected Looks Like

“The best time to resolve a coverage question is before the appointment — not after the denial.”

Patient Access Lead · Kaiser Permanente

Powered By

The technology behind this service.

The same underlying platform runs across every Revaxia service — each capability is applied where it genuinely helps, alongside the people who review its output.

Verification Engine

Checks eligibility and benefits against payer data before service is rendered.

Coding Assist

Cross-references codes against documentation and payer-specific edits.

Claims Validation

Screens claims against structured rules before they ever reach a payer.

Denial Intelligence

Groups denials by root cause and prioritizes recovery by value.

Integration

Works with your existing systems.

Revaxia is built to fit into how your organization already operates — not to force a migration to new systems before the work can start.

No rip-and-replaceWorks alongside your EHR and billing systemsFits into your existing workflows
FAQ

Common questions about patient access.

Typically days before the scheduled visit, not the morning of — so coverage or authorization questions surface while there's still time to resolve them.