Eligibility Check

If you enable Surescripts® in File Maintenance, you can perform an eligibility check for a patient. The eligibility check for each patient can be performed once in 72 hours.

• If you run a batch eligibility check in the morning for all patients with appointments and then open the Medications module, NextGen® Enterprise EHR automatically verifies when the last eligibility check was performed.
• If it has been more than 72 hours since the last eligibility check, NextGen® Enterprise EHR automatically sends the following patient information to the Surescripts® network for eligibility check:
  • First name
  • Last name
  • Date of birth
  • Gender
  • Zip code