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The choice that provides critical information required for scheduling patient procedures is an eligibility check. An eligibility check is a process that confirms whether a patient’s insurance plan covers a specific procedure and if the patient is eligible for benefits at the time of scheduling. This step is essential because it allows healthcare providers to determine if they can proceed with scheduling the procedure without risk of denial of payment.
In contrast, claim scrubber software is designed to review claims for potential errors before submission; however, it does not provide prior authorization or eligibility confirmation necessary for scheduling. Adjudication receipts relate to the final decisions made by payers regarding claims, which is after the procedure has been performed. Real-time adjudication, while valuable for immediate claim processing, does not specifically address the scheduling phase or verify eligibility for upcoming procedures. Hence, an eligibility check is crucial for ensuring that scheduling aligns with both patient needs and insurance coverage.