Before services are rendered, which process verifies a patient's insurance coverage and benefits in Resolute?

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Before services are performed, you need to confirm both that the patient’s coverage is active and what that coverage actually pays for. In Resolute, this is handled by eligibility and benefits verification. This step checks the patient’s enrollment status (eligibility) and pulls the specifics of the plan’s benefits, such as copays, deductibles, coverage limits, and any required authorizations. Having both pieces—who is covered and what the plan covers—lets you determine patient financial responsibility upfront and identify any prior authorization needs, reducing the risk of claim denials later. Other options relate to different tasks: pre-authorization is about obtaining payer approval for a service, referral management handles routing to specialists, and eligibility verification alone may only confirm active enrollment without detailing benefits. The combined eligibility and benefits verification best fits the goal of verifying both coverage and benefits.