Real-Time Eligibility Verification = Fewer Surprises for Everyone

Patient walks in. Service is rendered. Claim goes out.

Denial: "patient not eligible on date of service."

Sound familiar?

Real-time eligibility checks — done at scheduling and at check-in — catch coverage gaps before they become billing problems.

What to verify every visit:

• - Is the patient active with this payer?
• - Is this provider in-network?
• - Has the deductible been met?
• - Are there any coordination of benefits flags?

Most EHR systems have this built in. The question is whether your front desk is using it every time.