In an effort to manage healthcare costs insurance companies have several programs that need to be addressed to ensure a claim will be paid, but with still no guarantee. Many services require authorization to be obtained before  services and procedures are performed.  Insurance companies are constantly changing their prior-authorization requirements. It is also common that employers will change insurance plans to save money on monthly premiums. This webinar will walk through how offices can obtain eligibility before the patients are seen to confirm that the insurance information that is available is accurate and the patient is covered for services to be rendered. Then when the patient is seen, any services or procedures that are ordered may need to be prior authorized for that reimbursement will be received. The final piece is that the medical necessity requirements for the procedure or service is being met according to insurance company policies and guidelines.  Attendees will benefit from this webinar in that we will discuss all of these aspects of a medical claim that may have to occur before the insurance company even processes it and will reduce the number of claims an office can receive because these steps were not taken. This session will address the differences between eligibility, prior-authorization, and medical necessity and give attendees the steps needed to help ensure that claims will be submitted to the correct insurance company with the requirements of the insurance company met based on guidelines and policies set by the insurance company.