Insurance verification for medical practices

One verification process. Many specialties.

Explore the practice types VerifyCallie can consider supporting. Select a specialty below to read the verification details, benefit questions and available guides. We use one organized process, adjusted for each clinic, urgent care center or hospital department's needs.

Specialty directory

Find your practice type

Select a card to expand its benefits and verification focus. No separate software portal is required for each specialty.

28 specialty groups

Showing 28 specialties. Tap a specialty to read more.

Family & Primary CareWomen's Health & OB/GYN

Gynecology, preventive care, maternity and other women's health practices.

Benefits we can help research

  • Office and specialty copays, deductibles and coinsurance
  • Maternity-related benefit information when accessible
  • Relevant procedure and authorization checks under Full Benefits

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Behavioral & TherapyMental & Behavioral Health

Psychiatry, psychology, counseling and mental health practices.

Benefits we can help research

  • Mental and behavioral health visit benefits and cost sharing
  • Available in-person and telehealth benefit differences
  • Visit limitations and authorization indicators under Full Benefits

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesUrology

Urology offices and outpatient practices.

Benefits we can help research

  • Specialist office benefits and applicable deductibles
  • Available procedure-specific cost sharing and limitations
  • Online authorization or referral indications with Full Benefits

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Family & Primary CarePrimary Care & Family Medicine

Family medicine, routine and preventive-care clinics.

Benefits we can help research

  • Primary care eligibility, copays and coinsurance
  • Preventive versus office visit benefit distinctions when available
  • Appropriate CPT/HCPCS research with Full Benefits

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Family & Primary CareInternal Medicine

General internal medicine and adult care practices.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Family & Primary CarePediatrics

Pediatric and adolescent medicine practices.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Family & Primary CareUrgent Care

Walk-in and urgent care settings.

Benefits we can help research

  • Urgent care cost sharing where available
  • Active eligibility and coverage dates
  • Relevant limitations and procedure research with Full Benefits

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesCardiology

Heart and cardiovascular specialty clinics.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesDermatology

General and medical dermatology practices.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesEndocrinology

Diabetes, thyroid and endocrine clinics.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesGastroenterology

GI consultations and outpatient procedure settings.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesNeurology

Neurology consultations and specialty outpatient visits.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesOrthopedics & Sports Medicine

Musculoskeletal and sports medicine clinics.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesRheumatology

Inflammatory and autoimmune condition specialty practices.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesPulmonology & Sleep Medicine

Respiratory and sleep medicine practices.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesNephrology

Kidney health and nephrology clinics.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesOncology & Hematology

Cancer care and hematology practices, subject to specialized workflow review.

Benefits we can help research

  • Relevant office and specialty benefit information
  • Service-specific plan limitations when digitally verifiable
  • CPT/HCPCS and authorization research by approved scope

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesENT / Otolaryngology

Ear, nose and throat specialty offices.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesOphthalmology & Eye Care

Medical eye care and ophthalmology offices.

Benefits we can help research

  • Medical plan eligibility, copays and coinsurance
  • Medical versus vision plan distinction when available
  • Applicable procedures and authorization checks under Full Benefits

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesPodiatry

Foot and ankle specialty practices.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Medical SpecialtiesPain Management

Outpatient pain management practices.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Behavioral & TherapyPhysical, Occupational & Speech Therapy (PT/OT/ST)

Physical therapy (PT), occupational therapy (OT) and speech-language therapy (ST/SLP) clinics, including multidisciplinary rehabilitation practices.

Benefits we can help research

  • Separate or shared PT, OT and speech therapy benefit limits and visit counts
  • Discipline-specific evaluations, treatment codes and possible cost sharing
  • Referral and prior authorization requirements researched by service with Full Benefits

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Behavioral & TherapyPsychiatry

Psychiatric medication management and clinical mental health visits.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Facilities & OutpatientDiagnostic Imaging & Radiology

Imaging and radiology outpatient centers.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Facilities & OutpatientAmbulatory Surgery Centers

Outpatient surgical centers, including GI, orthopedic, pain, eye care, urology and multispecialty ASCs.

Benefits we can help research

  • Facility NPI, site of service and ASC network eligibility research
  • CPT/HCPCS procedure-specific benefits and online authorization requirements under Full Benefits
  • Deductible, coinsurance and facility versus professional benefit questions

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Facilities & OutpatientHospitals & Health Systems

Hospitals, health systems, outpatient departments and multisite facilities. Volume, staffing and secure access are reviewed during onboarding.

Benefits we can help research

  • Defined departments and patient verification volumes
  • Practice-authorized payer and EHR access
  • Payer, service and escalation requirements in the written scope

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Facilities & OutpatientCommunity & Specialty Clinics

Multi-specialty clinics and community-based medical practices.

Benefits we can help research

  • Active eligibility and applicable cost sharing
  • Plan limits, exclusions and referral requirements when available
  • CPT/HCPCS and procedure-specific research with Full Benefits only

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Facilities & OutpatientNew & Growing Practices

Independent clinics needing flexible administrative support.

Benefits we can help research

  • Basic and Full Benefits verification options
  • Separate prepaid Basic and Full Benefits volume packages
  • Optional separately scoped demographics and EHR entry

Actual coverage and payer requirements depend on the member, plan, provider, location and approved access. Specialty-specific procedures must be reviewed before production use.

Different specialties. The same attention to detail.

Basic eligibility, detailed benefit research, and authorized EHR or demographic entry are scoped to your actual practice needs. No guarantee of coverage or claim payment.

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