When should a patient’s insurance information be validated?

Validating a patient’s insurance information every visit is essential for several reasons. Insurance plans can change regularly, and what may have been accurate at a previous appointment may no longer reflect the current coverage or eligibility status.

By confirming this information during each visit, healthcare providers ensure that they have the most up-to-date details regarding the patient’s insurance, which aids in accurate billing. This practice helps reduce claim denials and delays, as incorrect or outdated insurance information can lead to complications when submitting claims for payment. Moreover, it allows the healthcare facility to inform the patient of any potential out-of-pocket costs or changes in coverage for specific services they may receive during that visit.

Continuous validation supports a smoother patient experience and helps maintain financial efficiency for the healthcare practice by minimizing administrative burdens related to insurance discrepancies.