Which information should an MAA verify on a referral?

An MAA should verify insurance coverage on a referral because it is crucial to ensure that the patient’s insurance plan will cover the services provided by the referred specialist. This step helps prevent unexpected costs for the patient and can help streamline the billing process for the healthcare facility. Confirming insurance coverage also ensures that the referrals are valid and within the network of providers that the insurance company recognizes, thus enhancing the efficiency of care coordination.

While other information may be important in different contexts, it does not hold the same priority in the referral verification process as insurance coverage. Emergency contact details, driver's license numbers, and financial hardship status are not typically required to be verified when processing a referral. Instead, such information might be more relevant to other administrative tasks or patient intake processes. Ensuring insurance coverage is a foundational step that impacts the overall patient experience and the financial arrangements related to their care.