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.
 
     Payable benefits
Payable benefits Co-pays
Co-pays Co-insurances
Co-insurances Deductibles
Deductibles Patient Policy Status
Patient Policy Status Effective date
Effective date Type of plan and coverage details
Type of plan and coverage details Claim mailing address
Claim mailing address Referrals & Pre-authorizations
Referrals & Pre-authorizations Receive patient schedules from the hospital, clinic, or medical practice.
Receive patient schedules from the hospital, clinic, or medical practice.  Verify a patient’s insurance coverage.
Verify a patient’s insurance coverage. Contact patients for additional information.
Contact patients for additional information. Update the billing system with all the eligibility and verification details such as the start and
                    end dates of a patient’s insurance plan, their member ID, group ID, co-pay information, and
                    much more.
Update the billing system with all the eligibility and verification details such as the start and
                    end dates of a patient’s insurance plan, their member ID, group ID, co-pay information, and
                    much more. 