2d • General discussion
💡 BILLING TIP
Eligibility verification isn't just about asking:
"Is the patient active?"
You also want to understand the applicable benefits and requirements for the service being provided.
Depending on the payer and service, things such as:
• Deductible
• Copay
• Coinsurance
• Authorization requirements
• Network status
• Benefit limitations may matter.
A patient's coverage being "active" doesn't automatically mean every service will be paid.
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💡 BILLING TIP
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