When a medical assistant needs to verify that an upcoming procedure will be covered by a patient's health-insurance plan, what should be the first step in the eligibility-verification process?
Ask the patient to explain the details of their coverage.
Discuss the plan's copayments, deductibles, and co-insurance amounts.
Request and copy the patient's current insurance identification card.
Contact the insurance company to confirm policy status and benefits.
Eligibility verification begins with gathering accurate information from the patient. The medical assistant should request the patient's current insurance identification card and copy or scan both sides. The policy number, group number, effective dates, and payer contact information found on the card are required before any later steps-such as contacting the insurer, confirming benefits with the patient, or explaining cost-sharing amounts-can be completed confidently.
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