Now, on Insurance Information tab, we will display the Nphies eligibility response for your patient with a set of codes to inform you whether the patient is eligible to have their services paid for by the insurance or not. This will improve your eligibility processes by a lot since you can confirm with this single response that their charges can be applied or not.
Here is more information about this update:
On Insurance Information option (Patient Registration window), you can see a new field called Site Eligibility with the Nphies response for their approval status:
The code give may depend on different business scenarios that affect patient's eligibility. Here are the list of possible given codes by Nphies:
Codes will help you fix their policy information or let you know if charges can be covered. Business scenarios shown above can also give you a few hints about what needs to be fixed.
Also, in case of any error during their validation, the displayed code can be any of these:
We hope this improves your Cirrus experience. Remember to share this information and ask for help if you need it.
Date: August 22, 2022