For information on ways to verify eligibility, please refer to ‘Verifying Eligibility, Benefits, and Your Network Participation Status’ in Chapter 2: Provider Responsibilities and Standards. This helps ensure you:
We can provide you with daily and/or monthly member eligibility information using an electronic file. You must coordinate initiation of electronic eligibility files with your software vendor and us. Advantages of receiving electronic eligibility are:
Refer to ASC X12 Technical Report Type 3/ Companion Guides for more information. Or ask your provider advocate.