A medical assistant is tasked with verifying a patient's health insurance eligibility before their scheduled surgery. The patient provides an insurance card upon check-in. What is the BEST step the medical assistant should take to ensure proper verification of coverage?
Contact the insurance company directly to verify current coverage and benefits for the scheduled surgery.
Gather information regarding any secondary insurance the patient may have.
Use an online verification system to check for the patient's eligibility status.
Check the patient's insurance card for eligibility information and assumed coverage for the surgery.
The reason contacting the insurance company directly is correct is because it allows the medical assistant to verify the accuracy of the patient's eligibility information and get real-time confirmation of coverage for the procedure. While an insurance card has valuable information, it does not guarantee current eligibility or coverage. Using an online verification system is helpful, but it may not provide the most current information or details specific to the services being provided. Gathering secondary insurance information is important, but it is only relevant if there is doubt regarding the primary insurance or if secondary insurance is necessary.
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