GoodMargin software · Benefits & authorizations
A clearer start.
Before the first claim.
Connect verification of benefits, prior authorizations, and administrative utilization review support. Give your team a clear picture of requirements before they become billing problems.
01 / VOB & eligibility
Know the benefits. See the questions.
Bring eligibility, network status, cost sharing, benefit limits, and authorization requirements into the billing workflow. Your team can spot missing information and follow up before the visit.
02 / Prior authorization
Keep authorizations connected to care.
Organize request status, supporting information, approved visits or units, and expiration dates. Give billers and practice staff a shared view of what has been requested, what is approved, and what still needs attention.
03 / Utilization review support
Keep the review moving.
Coordinate administrative utilization review (UR) work, including documentation requests, review dates, and payer follow-up. For BH/SUD programs, that means a clearer view across the information and authorizations supporting ongoing care. Clinical judgment stays with the appropriate healthcare professionals.
From a benefits check to a usable next step.
A coverage response is more useful when it is connected to the authorization, the visit, and the person responsible for following up. GoodMargin helps your billers keep that context together.
The details
Clear from the start.
Does GoodMargin make clinical or medical-necessity decisions?
No. Utilization review support organizes administrative requirements, records, and follow-up. Clinical and medical-necessity decisions remain with the appropriate healthcare professionals.
Who handles benefits and authorization work?
With software-only, your team runs the workflow. With full service, GoodMargin’s senior US billing team handles the administrative billing work and coordinates with your practice when supporting information is needed.
Does verifying benefits guarantee payment?
No. Benefits verification helps clarify coverage and requirements. Payment still depends on the plan, authorization requirements, documentation, claim details, and payer adjudication.
Your team or ours. Your choice.
Software at $1.90 per claim filed. Add full-service billing when you want us to run the work.