In development4 min read
Eligibility checks and private-pay fallback
Know what happens when insurance status is uncertain.
This is a product-direction guide. Described features may not be available yet.
Overview
Know what happens when insurance status is uncertain.
Step-by-step
- Request an eligibility check through an approved future workflow.
- Review the result and any manual-verification caveats.
- Offer a clear private-pay alternative when coverage is unverified.
- Reconcile adjustments if a later approval changes the amount owed.
Important checks
- An eligibility response is not a guarantee of payment.
- Coverage checks and 24-hour rechecks are not approved for live use.