Eligibility verification is more than confirming that a policy is active. Practices often need plan details, patient responsibility, network status, visit limits, referral requirements and authorization rules before care is delivered.
Information your team can act on
- Active coverage and effective dates
- Copay, deductible and coinsurance information
- Network participation indicators
- Visit or frequency limitations
- Referral and authorization requirements
- Coordination-of-benefits indicators
Verification results are documented in the practice workflow so scheduling, clinical and billing teams can see the same information.