NexHealth Support

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Verify insurance automatically or manually

NexHealth Verification automatically verifies insurance coverage and produces an Eligibility PDF for each patient with active coverage.

Each night, the Synchronizer syncs patients' insurance information from your health record system and automatically verifies insurance coverage for appointments scheduled in the next 7 days.

Patient insurance details such as Member ID and Group ID must be present in your practice management system for NexHealth to complete verification. Appointments added less than 7 days in advance will be verified as they are added, typically within 1-2 hours. Verification can also easily be completed manually by entering a patient's insurance details and clicking on Verify.

The Eligibility PDF is a summary of benefits which includes the information provided to NexHealth by the payer. Information typically includes procedure coverages, in and out of network benefits, and more.

New patients' insurance status in the patient profile displays as Pending.

Once verification has been completed, the Insurance Eligibility status is updated, the Eligibility PDF syncs to the document center in your health record system, and the patient’s insurance status is automatically updated on NexHealth home.

Need a patient verified on the spot? Run a verification manually in seconds:

  1. Select the patient from the Home page appointment list, or use the search bar to locate the patient chart in NexHealth.
  2. Click on the patient's name to open the chart.
  3. Open the Insurance tray by clicking the down arrow.
  4. Choose Verify eligibility on demand.

5. Complete the required information for the patient and click Verify. The patient's Insurance eligibility will be returned within seconds!