Insurance Verification
Why did an insurance check fail?
Usually incorrect coverage details, an unsupported payer, or an empty credit balance.
Quick answer
Open Eligibility and look at the request. Failed almost always means the coverage details were wrong or the payer is not supported. Sera retries a few times, then leaves the request visible as failed rather than hiding it.
Steps
- Open Eligibility and find the request.
- Check the coverage details — carrier, member ID, subscriber and relationship are the usual culprits.
- Correct the details, then run the check again.
- Check your Benefits Credits balance on Billing — checks cannot run on an empty balance.
If it still doesn't work
What the other states mean:
- skipped — the appointment was cancelled or the date had already passed. Nothing was charged.
- no result at all — your strategy used your practice system, or a still-fresh result was reused instead of charging you again.
- blocked — patient-level detail needs your BAA executed first.
Once the underlying coverage detail is corrected, the corrected coverage counts as new coverage, so the check runs rather than reusing the old result.