Facility eligibility & site of service
Check active coverage, dates, network status and the requested ambulatory surgical center location, with facility NPI and tax ID context when supplied.
VerifyCallie LLCInsurance verification for outpatient surgical facilitiesPUBLIC SPECIALTY OVERVIEW
Ambulatory surgery center support
More certainty
before surgery
day.
ASC insurance eligibility, outpatient surgery benefits & authorization requirement research
Your team prepares for procedures. We help organize the insurance questions that need answers first, from facility network information and requested CPT codes to patient cost sharing and unanswered payer requirements.
Secure onboarding and payer access required before live work. No patient details on this page.
ASC WORKFLOW FOCUSFacility. Procedure. Coverage.
AMBULATORY / OUTPATIENT / SURGICAL
01 Facility eligibility
02 CPT / HCPCS research
03 Authorization checks
04 Cost-sharing details
What our verification work addresses
One surgical visit.
Several coverage questions.
An ASC case is not the same as a routine office appointment. The facility, procedure, rendering providers and insurance plan can each change what must be confirmed.
Procedure-specific benefit research
For Full Benefits, document requested CPT/HCPCS codes, payer coverage information, applicable limitations, and whether ASC facility benefits are shown for that service.
Authorization & referral requirements
Research online payer requirements for each requested service and site of service. Record whether authorization is required, not required, or cannot be confirmed.
Patient cost-sharing details
Record deductible totals and amounts met, remaining out-of-pocket balances, copays, coinsurance, and distinctions between in-network and out-of-network benefits where available.
Facility versus professional benefits
Flag questions about facility fees, the surgeon's professional services and anesthesia because these may involve separate providers, claims and plan requirements.
Documented findings & QA
Record the source, date, reference and remaining questions in a review-ready format. Unconfirmed information is labeled clearly instead of assumed.
OUTPATIENT SURGERY / PREOPERATIVE READINESSBuilt around the surgical schedule
Clarity before
the patient arrives.
When a procedure is scheduled, an ASC needs more than a basic active or inactive insurance status. It needs to know what the available sources say about the location, service, provider network and remaining payer questions.
Facility
ASC identity, network status and site of service
Procedure
Requested codes and available coverage indications
Patient
Relevant benefits, deductible and out-of-pocket findings
Outpatient surgical specialties
For the procedures
your facility schedules.
We welcome inquiries from single-specialty and multispecialty ASCs. The precise verification scope is agreed in advance based on the facility, procedure and requested services.
01
GI & Endoscopy
Colonoscopy, endoscopy and other requested GI procedures
02
Ophthalmic Surgery
Cataract and other outpatient eye procedures
03
Orthopedic Procedures
Arthroscopy and other selected orthopedic cases
04
Pain Procedures
Injections and interventional pain procedures
05
ENT & Otolaryngology
Selected outpatient ear, nose and throat procedures
06
Urology & Other Specialties
Requested outpatient cases based on payer and facility scope
Helpful payer context
Medicare ASC coverage
is procedure specific.
For Original Medicare, ASC facility coverage depends on the eligible procedure and applicable Medicare rules. Commercial and Medicare Advantage plans may apply different benefit and authorization requirements. A published code list is a starting resource, not proof of member-level coverage.
CMS updates ASC procedure and payment resources, so requested service research must use the applicable year and the patient's payer information.
IMPORTANT
Verification ≠ guarantee of coverage, authorization approval, reimbursement or patient liability.
Custom designed by VerifyCallie
Our own ASC verification
workspace.
We designed our own ASC verification workspace around surgical facility benefit research, requested procedures, provider details, patient cost sharing, payer notes, saved cases and Automatic QA Review. Watch a real walkthrough of the training interface below using fictional information.
Prefer a different layout? This is only an example. Your ASC can request changes to the screen arrangement, questions, specialty-specific fields, navigation and review steps. We can discuss a custom workflow designed around your practice, with scope and feasibility agreed before development.
Discuss your preferred ASC workflowSEE THE WORKSPACE IN ACTION · 1 MIN 44 SEC
FICTIONAL SOFTWARE DEMOASC verification software demonstration
Watch a fictional ASC case move through procedure research, referral and authorization questions, deductible and out-of-pocket calculations, payer notes and the Automatic QA Review queue.
What you are watching: A demonstration of a customizable administrative verification workflow, not an insurance eligibility or authorization decision.Open full video
The video and screenshot demonstrate our custom-designed ASC administrative software using fictional data. They illustrate one possible layout, not a required configuration. Any practice-specific changes are discussed and scoped separately. This training interface is not a live EHR, payer integration, authorization submission system or patient intake portal. Real patient processing remains closed until required approvals and security controls are completed.
Working with VerifyCallie
Designed for small facilities.
Careful with complex cases.
Each ASC can have a different schedule, specialty mix and payer portal workflow. We discuss what you need checked before your first verification is accepted.
Standard turnaround target: 24 to 48 hours, once we have everything we need, including complete intake and authorized access. Complex cases may take longer. Payer calls are not part of the ordinary portal-first process; requests for authorization submission are separately scoped.
Answers for ASC administrators
Frequently asked questions.
Clear answers about outpatient surgical center coverage research, CPT codes, payer authorization rules and what a verification report actually means.
It is an administrative review of a patient's insurance eligibility, the intended outpatient surgical facility, requested procedure benefits, plan cost sharing and payer authorization or referral rules. Findings depend on the exact plan, date of service, provider identities and payer information available.
YOUR NEXT CASE STARTS WITH A CLEARER QUESTION.Let's get your ASC
Let's get your ASC
verification ready.
Tell us your facility specialty, approximate volume, payer mix and the kind of benefits research you need. No patient information in the inquiry.
ASC / VC