Revenue-cycle services for medical and dental practices
Eligibility Hub is a revenue-cycle platform and managed service. It verifies coverage, checks product and procedure coverage, prepares authorizations, sends claims, posts payments and works every denial to a decision, through your own software or ours. Each service below shows whether it is available today, launching after setup, partially built or planned.
See which work the hub handles
Grouped by where it sits in the cycle, from enrolling providers to recovering denials.
Credential
Enroll providers with payers
Verify
Eligibility, benefits and verification requests
Authorize
Coverage checks, prior authorization, predeterminations
Bill
Scrub and submit claims
Post
ERAs and EOBs
- Payment posting835 ERAs read line by line; paper EOBs reviewedLaunching after setupLaunching after setup
Recover
Denials, appeals and AR follow-up
Connect
API for your own software
- APIREST API with OpenAPI spec and separate test and live keysLaunching after setupLaunching after setup
What the labels mean
- Available
- Delivered today, subject to practice and payer requirements.
- Launching after setup
- Built and tested. Switched on for a practice after its setup steps.
- Partially available
- Part built, part planned. Each page says which part is which.
- Planned
- On the roadmap. Not purchasable until it opens.
A clear handoff between your practice and our team
We do not ask for your payer passwords, SSNs or bank account numbers in setup.
| Activity | Eligibility Hub | Your practice |
|---|---|---|
| Credentialing and enrollment | Prepare, submit, track, monitor exclusions and expirations | Portal sign-ins, SSN and bank entry, signatures, documents |
| Eligibility and verification requests | Run checks, prepare verification requests, flag authorization needs | Capture insurance cards and member IDs at intake |
| Coverage check and prior authorization | Check coverage, prepare and track requests and predeterminations | Clinical documentation; sign where a payer requires it |
| Claims | Scrub, submit, track acknowledgments, fix rejections | Complete, signed visit notes and charge capture |
| Payment posting | Post ERAs, review EOBs, flag underpayments | Forward paper EOBs and patient payments |
| Denials and appeals | Classify, build packets, draft letters, track deadlines and outcomes | Authorized person reviews, signs and files where required |
| Reporting | Monthly scorecard and live dashboards | Monthly review meeting |
- Credentialing and enrollment
- Eligibility Hub
- Prepare, submit, track, monitor exclusions and expirations
- Your practice
- Portal sign-ins, SSN and bank entry, signatures, documents
- Eligibility and verification requests
- Eligibility Hub
- Run checks, prepare verification requests, flag authorization needs
- Your practice
- Capture insurance cards and member IDs at intake
- Coverage check and prior authorization
- Eligibility Hub
- Check coverage, prepare and track requests and predeterminations
- Your practice
- Clinical documentation; sign where a payer requires it
- Claims
- Eligibility Hub
- Scrub, submit, track acknowledgments, fix rejections
- Your practice
- Complete, signed visit notes and charge capture
- Payment posting
- Eligibility Hub
- Post ERAs, review EOBs, flag underpayments
- Your practice
- Forward paper EOBs and patient payments
- Denials and appeals
- Eligibility Hub
- Classify, build packets, draft letters, track deadlines and outcomes
- Your practice
- Authorized person reviews, signs and files where required
- Reporting
- Eligibility Hub
- Monthly scorecard and live dashboards
- Your practice
- Monthly review meeting
Move in stages, not all at once
Your current biller keeps working until shadow mode shows our results side by side with theirs.
Agreements
Business Associate Agreement between your practice and Vixel Agency, plus the service agreement.
Who acts: Your practice and Eligibility Hub
Days
Practice setup
You complete the setup wizard. We verify NPIs, payers and providers.
Who acts: Your practice, then Eligibility Hub
Typically 1 to 2 weeks
Shadow mode
Your current biller keeps billing. Every claim also runs through our checks on de-identified test data, and we compare results with what was actually paid or denied.
Who acts: Eligibility Hub
Typically 30 to 60 days
Enrollment
Claims and ERA enrollment move to our clearinghouse, timed with your current biller's notice period. ERAs can go to only one clearinghouse at a time.
Who acts: Eligibility Hub, with your signatures
Typically 2 to 6 weeks, payer dependent
Live service
Full service, a monthly scorecard, and open denials from the prior biller worked to decision.
Who acts: Eligibility Hub
Ongoing
Lengths are typical, not promises, and the phases are not added up into a launch date. Payers set their own timelines.
Outside this scope
- Signing in to payer, PECOS or CAQH accounts with your passwords, or entering SSNs or bank numbers. Your practice does these steps.
- Guaranteeing payment or appeal outcomes. We work for clean claims and recoveries; payers decide.
- Legal advice, and coding audits of medical necessity beyond documentation review.
- Patient collections calls (available separately).
- Writing back into a practice-management system we are only given read access to.
Billing for a specific vertical: medical practices or dental practices.
Questions
What does the 1.5% fee cover?
The full service is 1.5% of insurance collections, meaning payments received from payers. Patient payments are not included. Credentialing is priced separately: $99 per payer application (one provider, one payer), billed separately from the 1.5% service fee.
Which services are available today?
Eligibility and benefits verification and insurance verification requests are live. Claims, payment posting, denials, the coverage check and the API are built and switched on for a practice after its setup steps. Prior authorization and AR reporting are partly built. Credentialing: Available. Delivered by our credentialing team.
Can we keep our existing software?
Practices connect through the hub's API or through admin software we build for them. Whether your current system can use the API depends on that system, and we confirm it during setup. Where we only have read access, we prepare posting worksheets instead of writing into it.
Does our current biller have to stop right away?
No. In shadow mode your current biller keeps billing while every claim also runs through our checks on de-identified test data. Enrollment moves to us later, timed with their notice period.
Do you need our payer passwords or bank details?
No. Your practice signs in to payer, PECOS and CAQH accounts and enters SSNs and bank numbers. We never ask for them in setup.
Review the scope before you begin
The full service is 1.5% of insurance collections, meaning payments received from payers. Patient payments are not included. See pricing for how the fee is calculated.
Last updated 2026-10-06