Verify Coverage Eligibility

Type: Process
Status: Planned
Industry Sector: Healthcare

Description:

Verification of payer coverage and eligibility before care delivery or billing.

Parent Process: Manage Healthcare Revenue Cycle

Subprocesses:

None

Served by Application(s):

Patient Administration System
Prior Authorization Management System
Revenue Cycle Management System

Realizes Capabilities:

Eligibility & Prior Authorization Management
Healthcare Revenue Cycle Management

Uses Information Object(s):

Patient
Coverage Eligibility Verification

Performed by Role(s):

Revenue Cycle Specialist

Triggers Process(es):

None

Planned Manage Healthcare Revenue Cycle Healthcare Eligibility & Prior Authorization ManagementHealthcare Revenue Cycle Management Revenue Cycle Specialist

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