A Step-by-Step Process to checking eligibility

In this article we will cover: how to Check Eligibility of an Existing Patient, how to Check Eligibility of a New Patient, and Checking Insurance of a previously added patient from their profile 

 Check Eligibility of an Existing Patient

1. Start by navigating to the Mobile MediClaim home screen

Start by navigating to the Mobile MediClaim home screen

2. Click on Check Eligibility

Click on Check Eligibility

3. If you already have a saved insurance with a patient, you can look up eligibility by searching their policy

If you already have a saved insurance with a patient, you can look up eligibility by searching their policy

4. Click on the name of the person you would like to check

Click on the name of the person you would like to check

5. After you click on your patients name, it will prepopulate with the previously saved information

After you click on your patients name, it will prepopulate with the previously saved information

6. Click Check Eligibility

Click Check Eligibility

7. If your eligibility check is successful, you will see a new tab open that shows the full benefits of the patient

If your eligibility check is successful, you will see a new tab open that shows the full benefits of the patient

8. If you would like to schedule a new appointment after a successful eligibility check, you can click + Schedule New Appointment

If you would like to schedule a new appointment after a successful eligibility check, you can click  + Schedule New Appointment

Check Eligibility of a New Patient

9. To check eligibility for a patient that was not previously saved- enter all of the information under "Patient Information"

To check eligibility for a patient that was not previously saved- enter all of the information under "Patient Information"

10. When entering in the name of plan, some plans are state specific, like TX BCBS

When entering in the name of plan, some plans are state specific, like TX BCBS

11. While others are universal, like Cigna

While others are universal, like Cigna

12. Once done, select Check Eligibility

Once done, select Check Eligibility

13. If you entered the wrong information, you will get an error that looks like the message below

Please do not save this to the patient profile. Make sure to get the correct insurance information needed.

If you entered the wrong information, you will get an error that looks like the message below

14. If your eligibility check is successful, you will see a new tab open that shows the full benefits of the patient

If your eligibility check is successful, you will see a new tab open that shows the full benefits of the patient

15. If the insurance information shows successful and this is your first time checking eligibility for this patient Click + Quick add Patient

If the insurance information shows successful and this is your first time checking eligibility for this patient Click + Quick add Patient

Checking Insurance of a previously added patient from their profile

There will be a time when you want to check eligibility from the patient profile itself and not from the check eligibility tab on the left hand side. We will walk through how we do that in the Mobile MediClaim system.

16. Click on Manage Patient

Click on Manage Patient

17. Click on Patient List

Click on Patient List

18. Type the name of your patient

Type the name of your patient

19. Click on your patients name

Click on your patients name

20. Click on the Insurance tab in the patient profile

Click on the Insurance tab in the patient profile

21. Here you will find the current patient policies for the patient, if they have any.

Click on PATIENT POLICY…

22. To check Eligibility click on the left hand side and add insurance information under Check Eligibility

 To check Eligibility click on the left hand side and add insurance information under Check Eligibility

23. Once done adding the information, click Check Eligibility

Once done adding the information, click Check Eligibility

24. while in the patient profile, you can also choose to + ADD INSURANCE by clicking the button

Remember, this can be used to add all insurances including primary, secondary, etc.

while in the patient profile, you can also choose to + ADD INSURANCE by clicking the button
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