coverage verification healthcare

What Happens If Coverage Is Inactive at Time of Service?

It’s a busy Monday morning at Lakeside Family Clinic. A patient, Sarah, arrives for her scheduled appointment and hands over her insurance card. As the front-desk coordinator enters her details, a red flag appears: coverage inactive.Sarah looks shocked. She insists she hasn’t changed her insurance, but the system shows her policy terminated last month. Now she faces an unexpected out-of-pocket payment—or a rescheduled visit.This is a scenario clinics face daily, highlighting why verifying active coverage before services is crucial to