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How NexHealth selects the insurance plan for verification
How NexHealth selects the insurance plan for verification

Discover how NexHealth identifies and verifies the most current patient insurance plans to prevent rejected claims.

Updated over a week ago

Overview

To ensure accuracy, NexHealth always verifies insurance using the most recently updated insurance information available for each patient. Our system is designed to automatically identify and use the latest insurance details, regardless of how they were submitted.

For Practices Integrated with an EHR

If your practice uses our EHR integration, here's how insurance verification works:

  • We automatically pull the primary insurance plan from your EHR system

  • We verify the most recently updated plan on file for the patient

  • Each time the patient has an upcoming appointment, we re-verify using this latest plan

  • If you update the patient's primary insurance in the EHR, we'll detect that change and use the new plan going forward

For Practices Using On-Demand or Form Verification

If your practice uses on-demand verification or collects insurance information through forms:

  • When you submit an on-demand verification request or when a patient submits insurance details through the verification form, we'll use the insurance plan submitted through that method

  • If no updates are made in the EHR, we'll continue verifying based on the most recent form or on-demand submission

  • As soon as there's a new update—whether it's through the EHR, a form, or another on-demand verification—we'll switch to using that plan

Best Practices

To ensure optimal insurance verification:

  1. Keep patient insurance information updated in your EHR

  2. When collecting new insurance information, promptly update it in your systems

  3. For patients with multiple insurance plans, always make sure the correct primary plan is marked in your EHR

  4. Review verification results before appointments to catch any potential issues

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