Eligibility FAQs

Eligibility FAQs

Eligibility FAQs

Why is my Eligibility Verify link grayed out?

  • If the Verify button is gray, there is a reason that Eligibility could not be checked.

    • Hover over the Verify button to see the reason.

    • Example: "This payer may not participate in electronic eligibility or  the Eligibility Payer ID is missing or incorrect on the Insurance Library record.


How can I check Eligibility on a specific Patient when the Eligibility Payer ID is different than the one in the System?  

Scenario: The Claims Payer ID is different than the Eligibility Payer ID, and the Eligibility Payer ID field is blank or incorrect in the Insurance Library.

  1. The Eligibility Payer ID can be entered on the Insurance Management Add/Modify Insurance screen.
  2. This will override the entry in the Insurance Library.

What should I do if I get a message stating that Eligibility has not been used in 90 days?

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