Eligibility Data holds all eligibility request and response information under a customer's account. All of the fields within this category correspond directly to fields that can be found in the Patient section of the application > Eligibility tab.
Name | Description |
Patient ID | The unique identifier for a Patient, as seen in the "Account #" field. |
Payer ID | The unique identifier for a Payer, as seen in the "Seq #" field. |
Provider ID | The unique identifier for a Provider, as seen in the "Seq#" field. |
Is Active Coverage? | Displays if there is active coverage based on the Eligibility.Active field using Yes or No filter values. |
Message | Displays any eligibility message (error message). |
Payer Priority | Displays the priority of the payer the eligibility was checked for. This means:
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Service Type | Displays the service type (values are the full name (i.e., “Medical Care” rather than the code “01”))based on the Eligibility.Servicetype field. |
Status | Displays the patient's Eligibility Status. |
Username | Displays the username of the user that checked the patient's eligibility. |
Completed Date | Displays the date the eligibility response was returned. |
Submitted Date | Displays the date the eligibility request was sent. |
Status | Displays the status of the returned eligibility request, defined as follows:
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