Reducing Eligibility and Benefits Denials Through Pre-Service Verification Introduction Many eligibility and benefits denials are set in motion before a clinician enters the room. A policy may be inactive, a service may not be covered, or authorization may still be pending when care begins. The denial may look like a billing problem, but it can start with an unanswered question at scheduling. That’s why insurance eligibility verification should be treated as a front-end process, not a box to tick before treatment. Done well, it helps staff understand what a plan appears to cover, what conditions apply and what the patient may owe. Done poorly—or too early, without a follow-up check—it…