Eligibility Verification
In order for medical practices to determine whether a patient is qualified for the recommended course of treatment, patient eligibility verification is regarded as the first stage in the revenue cycle management process.
Verification of Eligibility is essential to the overall success of a medical practice. According to reports, faults or inaccuracies in the healthcare providers' eligibility verification of patients account for about 70–75% of claim denials. This demonstrates that most practices continue to neglect their eligibility verification procedures, which results in claim delays and denials.