← Insurance Verification, Answered

How much does an eligibility check cost?

A few cents to a fraction of a dollar per transaction when bought directly from a clearinghouse, falling with volume; some sell monthly plans with a few hundred checks included. Most practices already pay for eligibility inside their EHR or clearinghouse contract and never see the per-check price. The check is cheap; interpreting the result is what costs staff time.

The transaction's low cost is why "we automate eligibility checks" is not much of a claim. The expensive part of verification was never the check. It is the reading, the follow-up and the phone calls that come after it, which is what the AI layer is priced for.

Last reviewed October 8, 2026

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