Eligibility Verification is the utmost way of avoiding insurance claim denials. Eligibility Verification provide the flexibility to determine patient coverage including deductibles, co-insurance, co-pays, inpatient days used, and other relevant insurance coverage benefit information. So medical office can collect payments or make other payment arrangements before rendering services. Verify

• Patients’ general eligibility for health coverage benefits
• The amount of the copayment or coinsurance required at the time of service
• Whether the planned patient encounter is for a covered service that is medically necessary under the payer’s rules.
• Limits on benefits for the year (either number of visits or dollar amount limit)
• If Pre-Authorization or a Referral is required