Insurance verification requests (IVR)
For wound care and other product-driven specialties, Eligibility Hub prepares a full insurance verification request for each patient and product. It pre-fills from the chart, adds wound size, the suggested CPT family and best-fit product size, saves a snapshot that flags later chart changes, and delivers the request to the manufacturer, distributor or biller.
At a glance
- Availability
- AvailableBuilt for product-driven specialties such as wound care.
- Part of the cycle
- Verify: eligibility, benefits and verification requests
- What it costs
- Included in the full service at 1.5% of insurance collections, meaning payments received from payers. Patient payments are not included.
- Your practice
- Capture insurance cards and member IDs at intake
Who does what
Eligibility Hub does
- Pre-fill each request from the chart
- Add wound size, the suggested CPT family and the best-fit product size
- Save a snapshot and flag when the chart changes after the request was prepared
- Deliver the request to the manufacturer, distributor or biller
- Flag where an authorization is needed
Your practice does
- Capture insurance cards and member IDs at intake
- Keep wound measurements and clinical notes current in the chart
Limits worth knowing
- A verification request gathers what the payer and supplier need. The payer still decides coverage.
- Whether a specific product is likely covered is answered by the coverage check.
Questions
What is an insurance verification request?
The packet a manufacturer, distributor or biller needs before a product is applied: insurance details, wound size, the suggested CPT family and product size, drawn from the chart.
Which specialties is it built for?
Wound care and other specialties where a specific product is billed, such as skin substitutes.
What happens if the chart changes after a request is prepared?
The saved snapshot is compared with the chart and the request is flagged, so you can send an accurate version.
Is this an automated phone line?
No. Here IVR means insurance verification request, a document. It is not an interactive voice response phone menu.
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