CPT Code Level Benefits
One Body calls the payers for you so that your clinic gets accurate CPT code level benefits and gets reimbursed for the services you gave to your patients
Save your staff time
Predictable cost per patient
Derisk your practice/clinic from front desk staff leaving or going on vacation leaving no one at the clinic knowing how to verify benefits
The perfect pairing with virtual assistant solutions
1. Gather Patient Information
Nam gravida congue posuere pretium olmer dignissim nullael elit doleril aenean.
2. Gather provider information
Nam gravida congue posuere pretium olmer dignissim nullael elit doleril aenean.
3. Check provider portals
Nam gravida congue posuere pretium olmer dignissim nullael elit doleril aenean.
4. Call payers
Nam gravida congue posuere pretium olmer dignissim nullael elit doleril aenean.
5. Ask Questions
Nam gravida congue posuere pretium olmer dignissim nullael elit doleril aenean.
6. Provide Report
Nam gravida congue posuere pretium olmer dignissim nullael elit doleril aenean.
Coverage Status
Are you able to verify benefits?
Is this plan active?
Does this plan have active [service type] benefits?
What is the time period of the policy?
What is the contract start date?
What is the policy termination date?
What type of policy is this?
What other type of policy is this?
What kind of policy is this?
What other kind of policy is this?
Why are you not able to verify benefits?
What is the other reason you are not able to verify benefits?
Network Status
What is the network status?
Upcoming Visit Deductible Applicable Statement
Which statement applies to this patient's visit?
Referral
Does this plan require a referral?
Please provide information on when this needs to be obtained and any other relevant info?
Call Information
Call Notes
What phone number did you call?
What is the call reference number?
What is the call representative's name?
What is the call recording url?
Prescription
Does this plan require a Physician Order or Prescription?
Please provide information on when this needs to be obtained and any other relevant info?
Please provide information on how to submit prescription?
Individual Deductible
Does this plan have an Individual deductible?
Has the patient met this plan's Individual deductible?
Remaining Individual deductible
Spent Individual deductible
Total Individual deductible
Medicare
What is the patient's 2025 total Medicare cap for [service type]?
What is this patient's remaining 2025 Medicare cap for [service type]?
Is this service type under Medicare Part A or Medicare Part B?
Does this plan have QMB Medicare status?
Does the patient have a current episode of home health?
What is the current episode of home health date?
Family Deductible
Does this plan have a Family deductible?
Has the patient met this plan's Family deductible?
Remaining Family deductible
Spent Family deductible
Total Family deductible
Individual Out Of Pocket Maximum
Does this plan have an Individual out of pocket maximum?
Has the patient met this plan's Individual out of pocket maximum?
Remaining Individual out of pocket maximum
Spent Individual out of pocket maximum
Total Individual out of pocket maximum
Family Out Of Pocket Maximum
Does this plan have an Family out of pocket maximum?
Has the patient met this plan's Family out of pocket maximum?
Remaining Family out of pocket maximum
Spent Family out of pocket maximum
Total Family out of pocket maximum
Visit Limit
Does this plan have a visit limit?
Total visits limit
Spent visits limit
Remaining visits limit
What unit is applied to the visit limit?
What is the other visit limit unit?
Is this a hard or soft max?
Is the visit limit combined?
What is the visit limit combined with?
What other is the visit limit combined with?
Any modality limits per day?
Same day modality limit details?
Anything the provider should know related to the visit limit?
Dollar Limit
Does this plan have a dollar limit?
Total dollars limit?
Spent dollars limit?
Remaining dollars limit?
Authorization
Does this plan require authorization?
Please provide information on when Authorization is required (i.e. before initial visit, after x visits, etc.)
Please provide information on how to submit Authorization?