Ensure that patient benefits are verified prior to or immediately following an admission or outpatient procedure with the guidelines in this policy.

Under this policy, personnel performing insurance verification should contact the payer to verify the following items: active and eligible status, plan type, worker’s compensation, out-of-network benefits eligibility, overall benefits, deductible, co-payment, estimated patient liability, out-of-pocket maximum, lifetime maximum, policy limitations or exclusions, and authorization for scheduled procedures or inpatient stay.