Review item,What to confirm,Response present,Follow-up needed,Assigned role,Next action
Inputs,Correct patient subscriber payer and provider details,,,,
Coverage,Returned eligibility status and effective dates,,,,
Deductible,Individual and family amounts where returned,,,,
Annual maximum,Maximum and remaining amounts where returned,,,,
Service benefits,Coverage and patient responsibility for the relevant service,,,,
Limits,Frequency exclusions and limitations where returned,,,,
Exceptions,Missing information and unsupported payer responses,,,,
PDF,Report downloaded and result reviewed including no-coverage responses,,,,
Follow-up,Next action owner and due date for unresolved details,,,,