EligibilityThe Eligibility tab will run Medicare Eligibility for new and existing patients.

View Eligibility

When you go to the Eligibility tab, you will see a list of all previously run eligibility requests. This list includes the Date the eligibility was run, the Name of the patient, the MBI number, whether the patient is eligible for Part A, Part B, HMO, MSP, Other HHA or Hospice. You can also see the details of the eligibility request and response by clicking on Details on the far right of the request you want to view.

Click on the patient name or MBI number to view the patient profile, which includes eligibility details under the Summary and History tabs.

You can search all previous requests using the filter and search options at the top of the page.

Run Eligibility

Select Run Eligibility to verify a new real-time eligibility report and fill out the form clicking Run when complete. The report will show under Pending Eligibility until completed. Select Detail to view Eligibility that was previously obtained.