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            Benefits Verification Requests

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            Benefits Verification Requests

            Understand the two types of pharmacy benefits verification requests that your representative can create to verify patients' benefits details.

            Required Editions

            Available in: Lightning Experience
            Available in: Enterprise and Unlimited Editions with Life Sciences Cloud or Health Cloud
            • Manual Verification Request
              In pharmacy benefits verification, a patient services representative can initiate a manual verification request by directly contacting payors to get the patient's coverage details. After they receive the coverage information, the representative can manually enter the response into the benefits summary section of the verification request.
            • Electronic Verification Request
              Reduce the time it takes your representatives to connect with payors by using an electronic benefits verification request. This request automates the verification process through electronic exchange of coverage information with payors through clearing houses.
             
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