PROCEDURE ELIGIBILITY

PROCEDURE

PROCEDURE: ELIGIBILITY

PURPOSE: TO KNOW IF PEOPLE’S ELIGIBILITIES ARE ACTIVE TO BE ABLE TO FOLLOW THE PROCEDURE OF SCHEDULING AN MEETING.

RESPONSIBLE: CALL CENTER OR ADMINISTRATIVE AREA.

GLOSSARY: ELIGIBILITY USES TO KNOW IF THE PERSON IS COVERED BY INSURANCE, ALLOWING TO COVER ALL THE EXPENSES THAT THE PATIENT WILL HAVE AT THE TIME OF MEDICAL CARE

STEP 1

ENTER “AVAILITI.COM”, ENTER THE DATA THAT WILL BE GIVEN BY THE ADMINISTRATION.

STEP 2

GO TO THE “ELIGIBILITY AND BENEFITS INQUIRY”

STEP 3

ENTER THE INFORMATION OF THE HOPITAL FOR WHICH WE ARE WORKING.

STEP 4

ENTER THE DATA OF THE CUSTOMER FROM WHICH WE ARE GOING TO ACQUIRE THEIR ELIGIBILITY, DATA; DAY OF BIRTH, FIRST LAST NAME, NAME, ID, GENDER.

STEP 5

PRESS ENTER, SO IT WILL GIVE US THE ELIGIBILITY RESULT.

HOW DO I KNOW IF THE ELIGIBILITY HAS THE INFORMATION NEED?

2- INFORMATION ON THE PERSON AND THE PLAN.

3- INFORMATION FROM THE DOCTOR OR HOSPITAL.

TO KNOW IF THE INFORMATION FROM THE HOSPITAL OR THE DOCTOR IS CORRECT WE CAN KNOW THROUGH ELIGIBILITY

STEP 6

REGISTER ACTIVE ELIGIBILITY BY CLICK UP.