Fundamentals of Insurance Verification

This course highlights the various types of health insurance that your patients may present at registration. We’ll review the fundamentals of Medicare, Medicaid, and third-party liability plans along with the differences in commercial and managed care plans. You’ll learn how verifying a patient’s insurance eligibility and benefits affect the coordination of benefits process, which determines the primary payer and secondary payer on a claim.

Estimated course completion data: 30 minutes.

Learning Objectives:

• Recognize the basic features of Medicare and Medicaid, commercial insurance versus managed care, and third-party liability plans.
• Learn how to perform insurance verifications and authorizations.
• Identify the process of coordinating benefits when patients have multiple insurance plans.

General Program Information