Real Time Eligibility
Verify eligibility
What is RTE
Name; DOB; Address and phone number
What is patient demographics?
Incoming, Outgoing, External and Internal
What is referral types
If the insurance has not changed does RTE still have to be ran?
Yes RTE must be ran
Responsible party the person financially responsible.
What is a guarantor?
Routine
Urgent
What is referral priority
What does the error message mismatch between the subscriber and the subscriber's name and the associated patient name?
Verify with the caller the information on the card.
What is general information?
Notes are added to
What is communications
Add coverage is found where?
Coverage added under "guarantor and coverage" tab
Cigna
BCBS
Aetna
What is insurance plans?
Some visits scheduled
Information needed
Ready to schedule
What is scheduling status
Pops up at the top of the checklist after you run RTE
What is Notifications
Caller I need to confirm my appointment
What is appointment desk?
Referral status after you fax documents to the referred to provider
What is information needed