Claims & denials · Definition
Eligibility verification: Definition
Confirming active coverage, plan, deductible status and network participation before the date of service.
This is a short definition only. The full explanation lives on dermatology eligibility verification services, which is the page to read if you are dealing with this on live claims.
Definition
Coverage verified at scheduling goes stale, particularly on Medicaid managed-care products where members move between plans.
A second sweep close to the visit catches most of it.
Return to the dermatology billing glossary.