ELIGIBILITY VERIFICATION ERRORS THAT LEAD TO CLAIM DENIALS (AND HOW AUTOMATION SOLVES THEM)
Executive Summary It’s Tuesday morning. Your denial team pulls the root cause analysis on last week’s $847K in claim rejections. They filter for “coverage not in effect” and “patient ineligible” denials. The number: 287 claims. That’s $847K sitting in pending because somewhere along the line, someone verified coverage and got it wrong. Here’s the frustrating […]
