What is “insurance verification” in medical billing?

Insurance Verification in Medical Billing

Insurance verification is the process of confirming a patient’s insurance coverage and eligibility before medical services are provided.

Insurance Verification in Medical Billing Explained

In medical billing, verifying insurance ensures that the patient’s insurance plan is active and that the services they require are covered. This process helps prevent claim denials and ensures that the patient is aware of their financial responsibility before receiving care.

For example, a healthcare provider verifies a patient’s insurance before scheduling surgery to ensure coverage and determine any out-of-pocket costs the patient will need to pay.

See common acronyms and abbreviations in Medical billing glossary.

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