Understanding eligibility: 5 questions answered

By verifying eligibility, practices can determine a patient’s health insurance coverage status prior to the appointment and accurately report demographic information on insurance claims.

Furthermore, prioritizing eligibility promotes proactive patient collection measures and avoids payment delays. Failure to verify eligibility is a common reason for rejection and denial of medical claims.

Reading: How to verify insurance eligibility

Want to avoid denials and increase your practice’s clean claims rate? Read on for answers to your eligibility questions.

  1. How does a practice check eligibility?
  2. Practices can use two different methods to verify eligibility: real-time electronic eligibility checks or manual checks. it is good practice to use real-time e-eligibility checks at least 48 hours before a patient’s appointment.

    this method allows you to…


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