Overview
This article covers Insurance Verification, which lets staff confirm a patient's insurance coverage is active — and that the insured's details on file match the payer — without leaving the patient's profile. You'll learn how to run a check manually, verify from a photo of the insurance card, resolve any mismatches, and set coverage to re-check itself automatically on a schedule.
Note: Insurance Verification checks the funding source you run it from. If a patient has multiple funding sources, each one is verified separately.
Why This Matters
A denied claim because coverage lapsed or a member ID was mistyped is expensive to fix after the fact. Insurance Verification catches both problems up front — confirming a policy is active and letting the payer's own records double-check what's on file — so staff can catch a plan change, a termination, or a data entry error before it ever reaches a claim.
Running a Verification Check
You can verify insurance directly from the patient's Funding Source, without opening a separate tool or calling the payer.
To verify coverage:
Open the patient's Funding Source and go to the Insurance Profile.
Select Verify Insurance.
Motivity checks the policy against the payer and returns whether an active policy exists.
The result — along with the date and time it was checked — is saved directly on the funding source, so anyone who opens the profile afterward can see when coverage was last confirmed.
💡 Tip: You don't need to leave the patient's profile or open a separate browser tab to confirm coverage — the check runs and returns a result right where you're already working.
Verifying From a Photo of the Insurance Card
If you're verifying coverage during intake or at a first appointment, you can skip manual data entry entirely by verifying straight from the card.
To verify from a card photo:
From the Insurance Profile, select Verify from Card.
Attach a photo of the front and back of the insurance card.
Enter the patient's date of birth.
Select Verify.
Motivity reads the payer name, member ID, and insured's name directly from the card, then checks that information against the payer — so you don't have to type the card details in by hand before verifying.
Reviewing Mismatches
If anything the payer returns is different from what's already saved on the funding source, Motivity flags it instead of silently overwriting your records.
Values that match what the payer has on file are applied automatically and marked Verified.
Values that differ are shown side by side — what's currently saved versus what the payer returned — so staff can review the difference and choose which value to keep.
This gives your team a chance to catch something like a wrong member ID before it turns into a denial, rather than finding out only after a claim comes back.
Setting Up Automatic Re-Checks
Coverage can change without anyone updating Motivity — a plan can lapse, or a patient can switch payers. Rather than relying on staff to remember to recheck, each funding source can be set to verify itself on a recurring schedule.
To set a re-check cadence:
Open the patient's Insurance Profile.
Set the Re-check Frequency to 3, 6, or 12 months.
Motivity automatically re-verifies coverage on that schedule and updates the next check date accordingly.
This means a lapsed policy or a plan change has a much better chance of surfacing before a claim is submitted, instead of after it's denied.
Frequently Asked Questions
Does verification submit anything to the payer, or just check coverage?
Verification only checks and confirms information — it doesn't submit a claim or any billing information to the payer.
What happens if I don't act on a flagged mismatch?
The mismatch stays visible on the funding source until someone reviews it and chooses which value to keep. It won't resolve itself or get overwritten automatically.
Can I verify insurance for a patient with more than one funding source?
Yes. Each funding source is verified independently, so you'll run a separate check for each one.
What if the payer doesn't return a match at all — for example, the policy is no longer active?
The result is saved on the funding source along with the date it was checked, so your team has a clear record that coverage came back inactive and can follow up accordingly.
Have questions about Insurance Verification? Reach out to our support team — we're happy to help! 💙
Last Updated: 9/11/2026 by Tatum Winslow
