This article explains how to manage the requested eligibilities.
Eligibility and Benefits Verification helps ensure accuracy in billing while preventing claim denials. It can help providers confirm active coverage, patient responsibility, and whether prior authorization is required.
Managing multiple requests manually can be time-consuming, so TherapyPM helps simplify the process by allowing administrators to easily submit and track eligibility requests in one place.
To effectively manage eligibility and requests in TherapyPM, please follow the steps below:
- Navigate to Billing > Eligibility.
- The eligibility and benefits requests table is displayed here. You can also filter the data by Patient, Insurance, or Date for customization.
- The table consists of the following information:
- Inquiry ID: Shows the inquiry ID.
- Processed Date: Shows when the request was processed.
- Patient Name: Shows the patient's name for the particular eligibility request.
- Insurance: Displays the insurance payer used.
- Benefit Type: Displays the benefit type.
- Coverage: Displays the coverage status, indicating whether it was successful or failed.
- Action: View the eligibility form here.
For more information on how to request a new eligibility, please visit this article!