Patient Eligibility Status
The different patient eligibility statuses are as follows:
Patient has single eligibility
Patient has multiple eligibilities
Patient is not eligible
No eligibility status is available
Patient eligibility is pending
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Patient Eligibility Status
NextGen® Enterprise EHR Help
Perform a Manual Eligibility Check
To perform a patient eligibility check, you must have Surescripts services enabled. Open NextGen® Enterprise EHR, and select a patient from Patient Lookup window. To view the Medications module for the patient, select Medications on the Quick Buttons panel. The Medications module opens. If the eligibility status displays No eligibility status, select Eligibility.The Checking Patient Eligibility window opens. While the NextGen® Enterprise EHR is acquiring information, the eligibility status is Pending. When the NextGen® Enterprise EHR acquires the available patient eligibility information, the status changes to Eligible. If the patient is not eligible, the status displays Not Eligible. Note: A patient can have multiple eligibilities. If you want to view the details of a patient's eligibility, select the eligibility status.The Patient Eligibility window opens. You can then select specific pharmacy benefit manager from the Benefit Source field. Patient Eligibility A patient eligibility ch
NextGen® Enterprise EHR Help
Types of Patient Eligibility Check
NextGen® Enterprise EHR supports the following types of patient eligibility check: Automatic check upon creation of a new encounter if the Perform Eligibility Check on New Encounter universal preference is enabled Manual check using the appointment list of the Workflow module Automatic check upon opening the Medications module Manual check using the Medications module Parent topic: Eligibility Check
NextGen® Enterprise EHR Help
Patient Eligibility Status
The different patient eligibility statuses are as follows: Patient has single eligibility Patient has multiple eligibilities Patient is not eligible No eligibility status is available Patient eligibility is pending Parent topic: Eligibility Check
NextGen® PxP Portal Provider Guide for NextGen® Enterprise PM
Enrollment Status in Reports
You can view the enrollment status of patients in the following reports in NextGen® Enterprise PM. Patient Chart Demographics Patient Chart Demographics with Providers Appointment Listing Patient Recall Statements Parent topic: Enrollment Status in NextGen Enterprise PM
Help Guide for NextGen® Enterprise PM 8
View Eligibility Response
To return to the dashboard, select the dashboard tab next to the patient's name in Eligibility Response. Double-clicking another patient's name from the dashboard grid displays that patient's eligibility response. You can open eligibility response information for multiple patients, and tab through each by selecting the patient's tab. Parent topic: Eligibility Verification Manager
Help Guide for NextGen® Enterprise PM 8
View Eligibility Response
To return to the dashboard, select the dashboard tab next to the patient's name in Eligibility Response. Double-clicking another patient's name from the dashboard grid displays that patient's eligibility response. You can open eligibility response information for multiple patients, and tab through each by selecting the patient's tab. Parent topic: Eligibility Verification Manager