What does 'Benefit Eligibility' check in Epic Prelude?

'Benefit Eligibility' in Epic Prelude specifically refers to determining whether a patient’s insurance covers specific services. This process is crucial as it allows healthcare providers to verify which services will be paid for by the patient's insurance plan before the patient receives treatment. Understanding the scope of coverage helps in avoiding unexpected costs for the patient and ensures that the healthcare facility receives payment for the services rendered.

In the context of patient management, verifying benefit eligibility involves checking details such as covered procedures, the extent of coverage for certain types of care, and any limitations or exclusions present in the patient's insurance policy. This proactive measure supports better planning and patient communication regarding potential out-of-pocket expenses. The focus is not primarily on government assistance or the overall duration of coverage, which are related factors but do not define the core purpose of the benefit eligibility check itself. Similarly, while expected co-pay amounts may be part of a financial discussion with a patient, they are not the primary focus of the benefit eligibility check, which is centered around service coverage.