eligibility check for prior authorization

How Can You Verify Eligibility and Benefits Before Starting Prior Authorization?

Verifying eligibility and benefits is the first step to ensuring a seamless prior authorization process. This essential task not only confirms a patient’s insurance coverage but also helps healthcare providers avoid unnecessary denials and delays. By verifying eligibility and benefits upfront, providers can align their services with the payer’s requirements, ensuring that the necessary medical procedures or tests proceed without complications. From confirming plan types to validating CPT codes, this foundational step streamlines workflows and improves patient satisfaction. Without a