Insurance & Eligibility · Eligibility Troubleshooting
Payer Does Not Support Eligibility #
Some payers or plans may not support the eligibility transaction your practice is attempting to use through its configured route.
What to do #
- Confirm the payer and payer ID are correct.
- Read the returned message to distinguish unsupported eligibility from a data rejection.
- Check your practice’s approved payer-verification alternative.
- Document the result according to practice procedure.
Verify before you finish #
- A wrong payer ID was ruled out.
- The response actually indicates unsupported eligibility.
- Staff use an approved alternative instead of repeatedly resubmitting the same request.
Important
Do not interpret lack of electronic eligibility support as proof that the patient has no coverage.