sharp_revenue_testing_guide
Differences
This shows you the differences between two versions of the page.
| Both sides previous revisionPrevious revisionNext revision | Previous revision | ||
| sharp_revenue_testing_guide [2025/01/08 16:24] – [Check Sharp Revenue Get Previous Results By Object ID] brad.sharp | sharp_revenue_testing_guide [2025/06/05 20:09] (current) – [Eligibility/Insurance Discovery Products] brad.sharp | ||
|---|---|---|---|
| Line 1: | Line 1: | ||
| ====== Sharp Revenue Tools API Guide ====== | ====== Sharp Revenue Tools API Guide ====== | ||
| - | ===== Product ID’s ===== | + | ===== Product List ===== |
| + | ==== Eligibility - Product ID: 1 ==== | ||
| + | This is used when you have all the information about the patient' | ||
| + | ==== Demographics - Product ID: 2==== | ||
| + | This runs the top level of the patients credit report and is utilized in Insurance Discovery. It will return | ||
| + | information such as address, gender, SSN. Use Product ID of 2 | ||
| + | ==== Sharp Coverage Discovery - Product ID: 3==== | ||
| + | When you don't know what insurance the patient has, you can run this. Using as much information you can provide this will fish for insurance. Use Product ID of 3 | ||
| + | ==== MbiFinder - Product ID: 5==== | ||
| + | This is used when you have the old Medicare member number and you need the new member number. Use Product ID of 5 | ||
| - | * **Eligibility** = 1 | ||
| - | * **Demographics** = 2 | ||
| - | * **InsuranceDiscovery** = 3 | ||
| - | * **MbiFinder** = 5 | ||
| ===== Selected API List ===== | ===== Selected API List ===== | ||
| Line 129: | Line 135: | ||
| ==== Eligibility/ | ==== Eligibility/ | ||
| The behavior of the service is largely dependent on the name of the subscriber / guarantor: | The behavior of the service is largely dependent on the name of the subscriber / guarantor: | ||
| - | * **Note Use Payer** Payer Number: 00015 and PayerName: | + | * **Note Use Payer** Payer Number: 00015 and PayerName: |
| * **Subscriber first name starts with “H”** – return Active coverage if subscriber id is present, otherwise return an AAA 72 validation (indicating a missing subscriber id). | * **Subscriber first name starts with “H”** – return Active coverage if subscriber id is present, otherwise return an AAA 72 validation (indicating a missing subscriber id). | ||
| * **Subscriber first name starts with “I”** – return Not Found response with an AAA 42 validation (indicating service temporarily unable to respond); a different AAA validation code can be sent if the first name contains a hyphen followed by the code (for example, a first name of “I-41” will cause a AAA 41 to be returned). | * **Subscriber first name starts with “I”** – return Not Found response with an AAA 42 validation (indicating service temporarily unable to respond); a different AAA validation code can be sent if the first name contains a hyphen followed by the code (for example, a first name of “I-41” will cause a AAA 41 to be returned). | ||
sharp_revenue_testing_guide.1736353493.txt.gz · Last modified: 2025/01/08 16:24 by brad.sharp