Inquiring on the Eligibility of a Member
Medicaid
Inquiring on the Eligibility of a Member
In this module, you will learn about HIPAA 271 and 272 functions. You will also understand the process to verify recipient eligibility online.
In this module, you will learn how to search the Medicaid eligibility of a member. You will also identify various filter types and key functions available in the eligibility list page.
In this module, you will learn how to view the eligibility details of an enrolled member. These eligibility details include relationship details, benefit plan history, eligibility history, patient pay amount history, restriction details, third party liability details, and RAC details.
In this module, you will learn how to view admission history of a member.
In this module you will learn how to retrieve individual eligibility and enrollment information as well as how to view facility and provider receivables information, and more.