What role does insurance verification play in Epic Prelude?

Insurance verification plays a crucial role in ensuring accurate billing and reducing denials within the Epic Prelude framework. By confirming a patient's insurance details before services are rendered, healthcare providers can ascertain coverage levels, co-pays, deductibles, and potential exclusions. This proactive approach minimizes the chance of billing errors that may lead to claim denials after services have been provided.

When insurance verification is accurately performed, it allows the healthcare provider to set appropriate expectations for the patient regarding their financial responsibility. This transparency helps improve the overall revenue cycle by ensuring that claims submitted to insurance companies are valid and complete, ultimately leading to a higher rate of payment and fewer disputes. Additionally, accurate insurance information can expedite the claims process, further reducing administrative burdens and enhancing operational efficiency. In this context, the correct answer highlights the importance of insurance verification in maintaining financial viability and operational success in healthcare settings.