Insurance & Eligibility · Eligibility

Inactive Coverage #

An inactive eligibility response means the payer did not report active coverage for the queried patient/date under the submitted information.

What to do #

1. Confirm the payer and member ID were entered correctly.
2. Check subscriber name, relationship, and date of birth.
3. Review the date used in the request.
4. Compare the policy dates stored in Phoenix with current source information.
5. Contact or follow your practice’s payer-verification process when the discrepancy remains.

Verify before you finish #

• A typing error was ruled out.
• The correct policy was queried.
• No unrelated coverage was deleted just because one response was inactive.