View Coverage Status

Complete the following steps to view coverage status information:

1. In the Eligibility Details dialog box, view the coverage status below the patient name. Select it to view additional details.
   1. Active Coverage or Active Multiple Coverage
   2. Inactive or Noncoverage
   3. Payer Rejection, Payer Cannot Process, or Contact Other Entity
2. If the coverage status is inactive, no coverage, or payer rejection, the Verify Status field is automatically updated to Yes Follow Up. Payers with a verify status of Yes Follow Up are qualified for the Incomplete Verification Work Queue.
   1. If manual follow up is needed because of inactive coverage, contact the payer and update the Verify Status accordingly.
   2. Select Cancel to close Eligibility Response and update the insurance information using information from the patient or payer.
   3. Resubmit insurance for eligibility.
3. If the coverage status is Active Coverage or Multiple Coverages, no further action is necessary.

   Note:

   The Historical Response alert is only displayed if you enable the Historical Processing option in the associated domain. If this option is disabled, the Historical Response alert is not displayed.