Complete the following steps to submit an eligibility response:
Access the Insurance section in Financial Responsibility or Manage Encounter.
Select the checkbox next to the appropriate insurance and select Check Eligibility.
Note:
The Check Eligibility button is not available if the facility or payer are not configured for eligibility, if an eligibility request is already in progress, or if the person does not have access to the facility. Details on the most recent eligibility check can be located under Eligibility Details.
Select Check Eligibility or Check Eligibility with Options. If the latter, you can select values for Service Date Range and Service Type, then select Submit.
The eligibility check transaction is called and the eligibility status is updated to Pending. Refresh the page to view the status.
When the eligibility response is returned, select the Eligibility Details button to open Eligibility Response.
Note:
If a response is not returned, review the insurance information and ensure that all information is accurate and up to date. Resubmit eligibility.