Glossary
Insurance eligibility verification is checking, before a visit, that a patient’s insurance is active and what it covers for the planned service, including deductibles, copays and any authorization needed.
It prevents the most avoidable denials: claims sent for patients whose coverage had ended or whose plan did not cover the service. Practices usually verify a few days ahead and again for higher-risk visits.
A good routine records the date, method and payer reference number, so there is evidence if a claim is disputed later.
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