CLEAN CLAIMS START EARLY
Verify coverage before services are billed
Front-end accuracy reduces avoidable edits, rework and patient confusion.
CONFIRM COVERAGE
Check active dates and payer order
Validate the plan, member information and primary-versus-secondary coverage.
REVIEW BENEFITS
Understand patient responsibility
Capture copays, deductibles, coinsurance, limitations and service-specific rules.
IDENTIFY REQUIREMENTS
Catch authorization and referral needs
Escalate missing requirements while there is still time to resolve them.
DOCUMENT THE RESULT
Make verified data usable downstream
Update registration and retain the payer response for billing follow-up.
NEXT STEP
Connect verification to denial reporting
Use eligibility denial trends to target training, payer workflows and system edits.