Eligibility Response Report

Overview

Purpose

This report generates a summary list of all 271 responses based on query criteria.

Detail

Not applicable

CSV or Excel

How to Get Here?

From Portal:	From Back Office:
From the Reports tab, locate the Eligibility Response Report. Click Edit for the report. Enter/select filter criteria on the Criteria page. Click Run Report.	Open the Manage menu and select Reports. From the Reports page > Modern tab, select the Eligibility Response Report from the list of reports. Click Run (or press [Alt] + [R]). Enter/select the filter criteria from the Parameters window. Click Run (or press [Alt] + [R]).

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Field	Description
Batch ID	The unique identification number of the charge batch with the case associated to the Eligibility Inquiry.
Case ID	The identification number of the case associated to the Eligibility Inquiry.
Patient	The name of the patient submitted in the Eligibility Inquiry.
Member ID	The unique number issued by the payer to identify the patient who participates in a group plan.
Bill Amount	The total amount being billed for procedures on the case.
Expected	The expected amount of payment from the responsible party for the amount to be billed, determined by the expected fee schedule configured at the practice configuration.
Payer/Plan	The name of the payer and plan submitted in the Eligibility Inquiry.
Practice	The name of the practice associated with the case submitted in the Eligibility Inquiry.
Facility	The facility where services are being rendered.
Provider	The name of provider of the services.
Status	The status, or the state of being qualified or entitled to benefits. Three possible values are: Active - patient is currently eligible Inactive - patient is not currently eligible Rejected - the Eligibility Inquiry did return a successful response
Request Date	The date the Eligibility Inquiry was submitted.
Response Date	The date the Eligibility Inquiry 271 response was returned. If the field is blank, a response has not yet been received.

Option	Type	Required	Description
Date	Drop Down	Yes	Filters transactions displayed by the selected time period. Options include: Custom Date Range, Last # of Days, Today, Previous Day, Current Month, Previous Month, Current Year, and Previous Year. If Custom Date Range is selected, the From and To fields are enabled to enter specific dates to run the query on. If Last # of Days is selected, the Last # of Days field is enabled to enter a specific number of days to run the query on. The maximum timespan for the report is 366 days.
Practices	List Selection	No	Filters by all practices or one or more practices for which collection tasks exist. By default, this filter is set to All. Only active practices are returned in the search results.
Facilities	List Selection	No	Filters by all facilities or by one or more facilities for which collection tasks exist. By default, this filter is set to All.
Providers	List Selection	No	Filters by all providers or by one or more providers for which collection tasks exist. By default, this filter is set to All.
Status	List Selection	No	Filters by all eligibility request statuses. By default, this filter is set to All.