Eligibility Verification & Prior Authorization: Key Differences Every Healthcare Practice Must Know [2026]
A billing coordinator at a busy orthopedic practice picks up the phone and calls the insurance company. “I need to verify the patient’s eligibility for an MRI,” she says. The rep on the other end pauses, then asks: “Do you need eligibility verification or prior authorization?” The coordinator hesitates. Aren’t those the same thing? That […]