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EHR › Claims EDI

Eligibility Checks

Each 270 inquiry and the payer's 271 answer: coverage, plan, copay, deductible and what is left of it, coinsurance and out-of-pocket.

Where to find it

  1. Module: EHR
  2. Group: Revenue Cycle
  3. Section: Claims EDI
  4. Screen: Eligibility Checks

Address in the console: /ehr/eligibility-checks

Read-only list · 11 columns

This list is read-only: its records are written by the work that produces them. A correction, where one is possible at all, is made where the record was created.

What the list shows

These are the columns of the list, in the order they are drawn. Any of them can be sorted on, filtered on, hidden, or exported.

ColumnKindField name
CheckCodecheck_no
PatientTextpatient_name
PayerTextpayer_name
Member idCodepolicy_no
AnswerStatusstatus
PlanTextplan_name
CopayAmountcopay
DeductibleAmountdeductible
Deductible leftAmountdeductible_remaining
Coinsurance %Numbercoinsurance_pct
CheckedDate and timechecked_at

The rules that apply here

Everything on this screen obeys the platform rules rather than rules of its own. The ones worth knowing before you use it:

Beside it in Claims EDI