Automating Eligibility Verification: How to Stop “Active Policy” Denials Before the Patient Arrives

“Active policy” denials often occur when eligibility is checked only once and not revalidated before the visit. This blog explains how automating eligibility verification helps practices catch coverage changes early, reduce avoidable denials, and prevent delays before the patient even arrives.

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How Automating Patient Eligibility Reduces Front-End Denials and Speeds Up Claim Approvals

Front-end claim denials drain revenue and slow down reimbursements. This guide explains how automating patient eligibility checks can prevent errors, improve claim success rates, and streamline your healthcare billing process.

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Key KPIs: Measuring the Success of the Eligibility Verification Process

Eligibility verification errors drive claim denials and delayed payments. Learn which KPIs—like denial rate, first-pass resolution, and verification time—help you optimize processes, reduce costs, and improve patient trust.

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Best Practices in Patient Eligibility and Benefits Verification

With rising consumerism, patients have increasing responsibility for payments. The growth of high deductible health plans (HDHPs) is a clear indicator of this trend. It is important to clearly understand the patient's responsibility for payments upfront and determine coverage. Click here to read the entire article.

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