Eligible with Exceptions

Eligible with Exceptions

Eligible with Exceptions

This status result indicates that there may be information that is different on the Eligibility Report than the information in the System. 

  • If there are Exceptions, the green check mark is replaced with an orange check mark on the Patient/Encounter Dashboard, Calendar, and on the Response. If the basic Subscriber/Patient information returns different values than the information sent, an Update icon will display in that area.

    • If the address is in red, this is the address that the payer has in their System which can be helpful for DME claims.

  • The Update icon can be used to update the information currently in the System. When the information has been updated, the Icon color changes to green.

  • If changed in error, use the Revert icon to change the information to the previous System value.

  • Use the Update All link to process all available updates with one click.


Other or Additional Insurance Plans

In the Eligibility Report, Other or Additional Payer information alert is displayed.


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