Claims & denials
Eligibility verification
Confirming active coverage, plan, deductible status and network participation before the date of service.
What it means in dermatology
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.
Verification should capture remaining deductible as well as active status, because that number determines what the front desk should collect.
Why it matters to your revenue
Eligibility denials are fully preventable and are the cheapest denial category to eliminate.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report — including where terms like this one are costing you money.
Request a free claims audit