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Eligibility checks

How to read the Eligibility page and what coverage checks Taiga runs against your patients' plans.

Written by Nanda Guntupalli

The Eligibility page shows the insurance coverage checks Taiga has run against your patients' plans. Verifying coverage before claims go out is one of the best ways to prevent rejections and denials, so Taiga runs these checks as part of the billing workflow.

The Eligibility page

Reading the page

Each row is one eligibility check:

  • Status — whether the patient's coverage is active for the plan checked.

  • Patient — the patient's name and member ID.

  • Service date — the date the check applies to.

  • Payer and plan — who the coverage is with.

  • Benefits and group — plan-level details returned by the payer.

  • Provider — the rendering provider NPI the check ran against.

  • Next action — what happens next (for example, "Verified" when coverage checks out).

Filter by member ID, payer, provider NPI, or service date to drill into a specific patient or plan.

Why a check matters

An inactive or mismatched coverage result caught here means the claim can be fixed before submission — correcting a member ID, billing a different payer, or confirming new insurance with the patient — instead of waiting weeks for a payer rejection. When eligibility flags something your team needs to confirm (like updated insurance), it will surface in the Follow-Up queue.

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