Eligibility Verification
Verifying patient eligibility is the first step to ensure timely payments and avoid costly denials. At WNL RCM, we provide comprehensive eligibility and benefits verification to help providers confirm coverage before services are rendered. Our process ensures faster payments, fewer claim rejections, and a seamless patient experience.
Our health insurance eligibility verification specialists will confirm the following patient benefits on each date of service:
• Coverage Verification– whether the patient has valid coverage or not
• Demographic data – Patient Name & DOB is same as Payer
• Benefit options – patient responsibility for co-pays and coinsurance
• Plan Type – Verify patient plan type to avoid future denial
• Prior authorization requirements – confirming authorization for treatment from appropriate sources, if applicable
