Eligibility Data

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.

NameDescription
Patient IDThe unique identifier for a Patient, as seen in the "Account #" field.
Payer IDThe unique identifier for a Payer, as seen in the "Seq #" field.
Provider IDThe unique identifier for a Provider, as seen in the "Seq#" field.
Payer PriorityDisplays the priority of the payer the eligibility was checked for. This means:

  • If the eligibility was checked for the primary payer, this field will display "Primary".
  • If the eligibility was checked for the secondary payer, this field will display "Secondary".
  • If the eligibility was checked for the tertiary payer, this field will display "Tertiary".
UsernameDisplays the username of the user that checked the patient's eligibility.
Completed DateDisplays the date the eligibility response was returned.
Submitted DateDisplays the date the eligibility request was sent.
StatusDisplays the status of the returned eligibility request, defined as follows:

  • 0 - The request was not sent or was unable to be sent due to an error.
  • 1 - The request response was received.
  • 3 - There was a problem resolving eligibility. This generally means a field was missing that the payer requires in order to check the eligibility (e.g., subscriber #, member ID, etc.)