What essential information must be confirmed to decrease claims denials?

Confirming insurance coverage and claim accuracy is crucial in efforts to decrease claims denials because these factors directly impact the approval of reimbursement for services rendered. Understanding the patient's insurance policy helps to ensure that the medication prescribed is covered and that there are no issues such as needing prior authorization. Additionally, verifying claim accuracy involves checking the correctness of details such as patient information, service codes, and billing amounts, which must align with both the insurance provider's requirements and the services delivered. This diligence in ensuring both coverage and accuracy minimizes the risk of denials due to incorrect information or lack of benefits, thereby streamlining the reimbursement process.

The other options, while relevant to various aspects of pharmacy operations, do not address the primary concerns that lead to claims denials. Patient weight and age may inform clinical decisions, but they do not directly correlate with the financial aspects of reimbursement. Availability of medication is important for fulfilling patient needs but does not impact the claim's processing or acceptance. Lastly, pharmacy hours of operation are unrelated to the claim process itself, which focuses on insurance-related factors and the accuracy of the claim being submitted.