RYLIGN HEALTHOPSProtect Revenue Before the Claim.Plan a Consultation

Free pre-service readiness check

See where revenue risk may be entering the workflow.

Answer 12 practical questions about the controls that support authorization, referrals, eligibility, benefits, and financial clearance. You will receive an immediate directional score and a clear place to start.

Keep the assessment PHI-free.Answer only about the practice’s process. Do not enter patient names, identifiers, clinical details, or documents.
Progress0 / 12
01AuthorizationRequired authorization rules are confirmed early enough to prevent same-day surprises.
02AuthorizationThe request is checked for the correct CPT, date, location, and rendering provider before submission.
03AuthorizationEvery pending authorization has a clear owner, next action, and escalation date.
04ReferralsReferral scope, expiration, visit limits, and PCP requirements are checked before the appointment.
05ReferralsMissing or incomplete referrals move through a documented escalation path.
06ReferralsScheduling and referral teams agree on who owns each handoff and status update.
07Eligibility & benefitsCoverage and benefits are rechecked within a defined window before the date of service.
08Eligibility & benefitsNetwork status and plan-specific limitations are documented—not assumed from active coverage alone.
09Eligibility & benefitsEligibility findings are recorded consistently enough for another team member to understand the decision.
10Financial clearanceThe practice has a clear cutoff for when a case must be financially cleared or escalated.
11Financial clearanceLeaders can see why cases are delayed, rescheduled, or returned for repeated work.
12Financial clearanceThe team tracks at least one front-end measure, such as readiness by cutoff, avoidable reschedules, or first-pass completion.
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