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Eligibility verification

Know what the patient owes.Before check-in.

Wiz checks therapy-specific benefits, calculates what to collect, and writes the answer into your EMR.

Patient estimates included. Add reverification or prior authorization only when you need them.

Verified Jul 18, 2026

Estimated patient responsibility

$80.00
Patient
Dillan Smith
Plan
Aetna PPO
Visit
Initial evaluation
Ready to collectWritten to your EMR

Why a basic check is not enough

Active coverage still leaves your front desk guessing.

The question is not only whether coverage exists. It is what applies to therapy and what the patient should pay.

A basic eligibility response

  • Active or inactive coverage
  • Deductible, copay, and coinsurance fields
  • Visit details missing
  • Staff interprets what applies to therapy
  • Staff calculates what to collect

The Wiz eligibility result

  • PT, OT, and ST benefits
  • Visit limits and visits remaining
  • Clinic-specific financial and payer rules applied
  • Patient estimates for initial evaluation and treatment visits calculated
  • The usable answer written into the EMR

Free eligibility worksheet

Take the exact payer questions into every verification.

Use the fillable worksheet to capture therapy-specific benefits, visit limits, authorization requirements, and the details your front desk needs before the patient arrives.

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What your team gets

A number to collect. And the detail behind it.

See what staff can use before the patient arrives.

Estimated patient responsibility

Give the patient an estimate for the initial evaluation and the expected cost across the entire plan of care.

  • A shareable estimate prepared before the first visit.

For a front desk like Peak's

Less manual insurance work. Fewer patient balances.

Peak Orthopedic eliminated hours in payer portals, and monthly reverification cut the patient balances and credits caused by outdated benefit information.

Sherri DeLuca
Sherri DeLucaMarketing Manager, Peak Orthopedic Physical Therapy
Peak Orthopedic Physical TherapyPhysical therapy practice
View all customer stories

Transparent from the start

Start with eligibility. Add only what you need.

Eligibility Verification is the Core of every subscription. Patient estimation is included.

Eligibility verification

CoreAlways included
  • Therapy-specific benefit verification
  • Patient estimate included
  • EMR write-back

Your monthly subscription scales with clinic volume. Fine-tune your assumptions on the pricing page.

Calculate my clinic's cost

Eligibility Verification FAQ