eligibility verification

Eligibility verification is the process of confirming whether a person qualifies for a specific benefit, service, or program. It involves checking their personal information and details—such as income, employment status, or membership status—against the program’s requirements. This ensures that resources are allocated to those who meet the criteria and prevents fraud or misuse. In healthcare, for example, verifying insurance eligibility confirms that a patient’s coverage is valid at the time of service, allowing smooth billing and access to benefits. Overall, it's a key step to ensure fair and accurate allocation of services or benefits.