<p dir="ltr">Eligibility mistakes are one of the most common reasons claims get denied, and most of them can be caught before the patient is even seen. Checking that coverage is active is not enough. You also need to confirm the copay, deductible, coinsurance, secondary insurance, and whether the service needs prior authorization.

<p dir="ltr">Many practices struggle to do this consistently when the front desk is busy, which is why some turn to eligibility and benefits verification services. Whether you keep it in-house or outsource it, verifying close to the appointment date and documenting the result can prevent a lot of rework later.

<p dir="ltr">How does your team handle it? Do you verify manually through payer portals or use a clearinghouse tool?



<p dir="ltr">Disclosure: I work with eClaim Solution, a medical billing company.