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.