Eligibility Portal Data Elements


Data Elements* include

  • Actual benefit verification
  • Effective dates
  • Co-pay amounts by specialty
  • Deductible amounts
  • YTD deductible satisfied
  • Covered services
  • Non-covered services
  • PCP of record
  • Required referral information
  • Covered dependants
  • Pharmaceutical data
  • Any other payor-supplied data


    • *Payor-supplied information varies