Insurance verification plays a major role in a healthcare facility’s claim denial management
programs. Every successful billing depends solely on the success of eligibility verification. In a
nutshell, health insurance verification is the process of checking a patient’s active coverage with the
insurance company. It also verifies the eligibility of a patient’s insurance claim.
Verifying a patient’s insurance plan must be done before the patient gets admitted to any hospital,
clinic, or medical facility to avoid claim rejection. Filings for claim rejection are such a hassle
and very time-consuming. Make sure that the written patient information is correct and up-to-date.
Also, make sure that the policies are active and weren’t modified. Even the tiniest and simplest error
can result in a claim rejection or denial. Be sure that you’re very thorough and keen.
A person who ensures smooth-sailing eligibility and benefits verification is called an insurance verifier. They are one of the most important parts of the staff. They work with patients, handle all the paperwork, and verify patient information with their insurance carriers so that they can facilitate revenue cycle improvement and maximize reimbursement.