Insurance Eligibility and Verification Outsourcing

Explore the advantages of insurance eligibility and verification outsourcing with The CMI Group. Managing insurance eligibility and verification in-house presents numerous challenges that can hinder the growth and efficiency of your operation:

  1. Time-consuming processes: Eligibility determination and verification can be time-consuming, diverting valuable resources away from your core business activities.
  2. Keeping up with regulations: The constantly evolving insurance landscape requires your staff to stay up to date with the latest regulations and policies, placing an additional burden on your team.
  3. Risk of denied claims: Inaccurate or incomplete verification processes can result in denied claims, leading to financial losses and a negative impact on patient satisfaction.
  4. High operational costs: Maintaining the necessary infrastructure, technology, and personnel to carry out these tasks in-house can be a costly headache.

These cumulative challenges make outsourcing insurance eligibility and verification an increasingly attractive solution for businesses seeking to optimize their operations.

The CMI Group’s Outsourcing Solution

At The CMI Group, we understand the challenges businesses face while managing insurance eligibility and verification in-house. That's why we've carefully developed an outsourcing solution designed to streamline your operations, enhance productivity, and propel your business to new heights. We recognize that every business is unique, which is why we pride ourselves on offering tailor-made solutions that cater to your specific needs. Our insurance eligibility and verification outsourcing services offer a comprehensive, customized approach, ensuring a seamless experience for both you and your patients.

Document Review- The CMI Group begins with gathering the necessary information to check coverage. Prioritizing accuracy, we verify that the patient has provided each of the required documents.

Verification- Verifying against the primary and secondary carrier’s website, our team confirms that the policy is currently active and checks each aspect of the patient's coverage details including covered services, procedures, and diagnoses as well as limitations and exclusions.

Follow-Up- Utilizing multiple communication channels, we follow up with patients to gather details about any missing or inaccurate information.

Our People, Your Advantage

Our experienced team of specialists offers unmatched expertise, ensuring the highest accuracy in insurance eligibility and verification processes. With The CMI Group by your side, you can leave the worries of denied claims behind and enjoy a seamless experience for your patients. Our remarkable success is due to our outstanding employee-owners. As part of CMI's Employee Stock Ownership Plan (ESOP), everyone in the company, including eligibility and verification specialists, has a direct interest in the company's financial growth as they tenure with the organization. This special connection to CMI's success encourages a strong sense of pride in our services and drives us to continuously strive for excellence.

Cost-Effective and Efficient

Outsourcing your insurance eligibility and verification tasks to The CMI Group can save you up to 60% on operational costs, eliminating the need to worry about employee salaries, benefits, and infrastructure expenses. Our cost-effective and efficient services provide the perfect solution for businesses seeking to optimize their operations.

Relationships Matter

The CMI Group is committed to creating a strong partnership with you by providing a program manager as your main contact. This expert will represent your business within our organization, understanding your specific needs, objectives, and process. They will work closely with you to manage your eligibility and verification strategy, guaranteeing smooth communication and collaboration between both teams. By staying in touch through Slack or email and holding regular meetings, our program manager will share important insights, reports, and updates to make sure your outsourced project succeeds.

Partner with The CMI Group Today

Experience the transformative power of our insurance eligibility and verification outsourcing solution by partnering with The CMI Group. To learn more contact us below:


The CMI Group is a 100% employee-owned company that is always in search of quality individuals who want to be part of our team. We have excellent opportunities in areas including financial, sales, administrative, phone operators & technical positions.

The CMI Group
Contact Us Texas Offices: 1-800-377-7713
Collections: 1-800-377-7789