Verifying Eligibility

The eligibility status for all payers for which claims can be submitted electronically is verified on demand and instantly by clicking the "Verify" or "Verify Selected" buttons on the Contact, Client, and Client Payer documents. Since there is a charge for every instant eligibility verification, being able to verify eligibility is restricted to administrators and users with the "Verify Client" permission.

The system never verifies the eligibility status for some payer sources like self pay and pro bono. The system automatically verifies the eligibility status for OKHCA payer sources three times a month. In addition the "Payer Comment" for each client is update every night for OKHCA payer sources (and change notifications sent out) even though the eligibility is not updated.