Why Should You Incorporate Eligibility Verification in RCM?

Eligibility verification is the process of checking the patient’s insurance details to verify coverage and benefits under the patient’s plan, ensuring the care provided to the patient is payable by the insurance provider. Generally, this takes place in the practice itself. Since most Americans are covered by an insurance plan, it is imperative for practices to ensure clarity in the process in order to obtain effective reimbursement for the services rendered and eliminate any instances of unpaid claims.