CheckPoint: Eligibility, Payment, and Billing Procedures
• Resource: pp. 86–88 of Medical Insurance
Write a 250- to 300-word response to the following:
o Describe a factor that determines patient benefits eligibility.
o What are the appropriate steps to take when insurance does not cover a planned service?
o Relate these steps to the eligibility factor you identified and provide two examples of patient charges with corresponding billing transactions.