Medical Order, Print, Patient Eligibility Batch, Request

If you’d like to check Patient Eligibility for all Medical Orders, Recurring Orders or Claims before being processed, you can.

Steps
1. Filter the list of Orders or Claims to only those for which you want an Eligibility Request.
2. Click on Edit, Print, Batch Patient Eligibility, Request to send the request.
3. Wait for the request to be processed. This generally is complete overnight.
4. Click on Edit, Print, Batch Patient Eligibility, Response to get the results.

Example: A common need is to check Patient Eligibility for all Medical Orders for Medicare.
1. Filter on ONLY the Medicare Orders, by choosing two criteria;
MEDICAL_PAYOR.LIST_ORDER = 1 (Primary Claims Only),
PAYOR.CARRIER = “C” (Medicare).
2-4 as normal.

Note: This service requires a subscription to the Patient Eligibility service, and there are additional charges per check (Order, Recur, Claim, etc.).