The following sections explain the NextGen® Eligibility Verification Response received from the payer.
The user interface for Real-Time Eligibility Response is informative and easy to navigate. Color codes and symbols make the data easy to understand and to confirm successful responses like Active, Inactive, and Limited.
When a payer returns a Limited response, the message is advising providers to contact the payer with further verification. An example is an eligibility response record with a type 'V' (Cannot Process) is handled like type 'U' (Contact for Verification).
You can view the latest successful eligibility response from the payer irrespective of having a pending status transaction for the specified time period (in days) as per user preference . To specify the number of days in the user preferences, go to
NextGen Healthcare Success Community and download the latest
Layout and User Preferences Guide for NextGen Enterprise PM, and refer to the
Set General Preferences section. You can view the latest successful response from an appointment, an encounter lookup, and a patient chart. If the transaction is pending, you can view the eligibility response from the appointment information tooltip. For more information on viewing the latest eligibility response, see the following:
