Why is it important to verify patient eligibility each time they come in?

Verifying patient eligibility each time they arrive for an appointment is crucial for ensuring accurate claim submission. When healthcare providers confirm a patient's eligibility with their insurance plan, they are able to understand the specific benefits and coverage that apply at that moment. This verification helps to avoid issues such as claim denials that can arise when the information submitted does not align with the patient's current insurance status.

Additionally, insurance plans can change frequently, and a patient's coverage and benefits can vary with new plans or updates. By confirming eligibility, providers can ensure that claims are submitted correctly according to the most current information, which significantly enhances the chance of timely reimbursement and minimizes the likelihood of billing disputes. While verifying eligibility can also facilitate a faster billing process and check for changes in the patient’s insurance, the primary focus remains on accurate claim submission.