What must you verify if you receive a call from the plan requesting an update to a member's eligibility?

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Verifying the caller's authorization is crucial in ensuring that sensitive information regarding a member's eligibility is shared appropriately. This is vital in maintaining privacy and complying with regulations such as HIPAA, which protect personal health information. By confirming that the caller is indeed authorized to receive such updates, you safeguard against potential breaches of confidentiality and ensure that the information is only disseminated to those who are entitled to receive it.

While factors like the time of the call, the caller's location, and the member's insurance status might seem relevant, they do not hold the same weight in terms of protecting member information. Time and location may help in understanding the context of the call but do not ensure that the information shared is secure. The member's insurance status is important, but it should only be discussed with authorized parties to avoid any unauthorized disclosures. Thus, focusing on the caller's authorization ensures the integrity and security of sensitive information.

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