BEFORE

 Username and Password of provider with the Clearinghouse must be configured to verify the patients eligibility. In addition patient must have his Insurance Company information.



AFTER

FOR COVERAGE ELIGIBILITY SEARCH

  • Go to the Appointment screen.
  • Select the patients eligibility wanted. 
  • Click on the More button, located at the top pf screen and select the Eligibility option.


  • Or click on the information button, located in front of patient's name and select the Eligibility option.


  • Or select patient from the calendar and then click on the Eligibility button, located at the right side of screen, in the Side Panel section.


  • The following screen will be displayed: 


  • In order to see the Pharmacy coverage, click on the Pharmacy tab. 
  • The following screen will be displayed, with the pharmacy eligibility information. 


  • SEARCH FOR HEALTH PLAN ELIGIBILITY

    • Upon entering the eligibility screen, the patient's medical plan cover, will be displayed.


  • SEARCH FOR PHARMACY ELIGIBILITY
    • Click on the Pharmacy tab.  


    Option #1: Search eligibility for NON-existent patients.

    (For health plan eligibility only, this option does not apply to pharmacy eligibility search.)

    • From the main menu, click on the Eligibility button. Or click on the QuickLinks text, located at the top of the screen and select the Eligibility option.
      • Modern Main Menu: Press the button called "Eligibility".


    • Classic Main Menu: Click on the Eligibility button, located at the top right of the screen. 


    • Perform the following steps:
      • Record the patient's first and last name.
      • Record the patient's date of birth.
      • Select the patient's gender.
      • Record the patient's address. The city field, will fill up automatically, as soon as you enter the zip code.
      • Record the patient's health plan information.
      • Once all the information is registered, click on the Services button, located at the top of the screen or click the "Refresh" button, located in the center of the screen.


    • Patient eligibility will be displayed.



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