Eligibility verification with payers is the process of confirming a patient’s insurance coverage status prior to their appointment. This is an important step in the revenue cycle management process, as it helps to ensure that healthcare providers are reimbursed for their services.

Benefits of eligibility verification with payers:

• Improved revenue cycle management: Eligibility verification helps to reduce the number of denied claims, which can lead to improved cash flow.
• Reduced patient liability: By verifying eligibility upfront, healthcare providers can help patients to understand their financial responsibility and avoid surprises at the time of service.
• Improved patient satisfaction: Patients are more likely to be satisfied with their care when they know what to expect financially.