sharp_revenue_testing_guide
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| Both sides previous revisionPrevious revisionNext revision | Previous revision | ||
| sharp_revenue_testing_guide [2025/02/07 14:48] – [Product ID’s] brad.sharp | sharp_revenue_testing_guide [2025/06/05 20:09] (current) – [Eligibility/Insurance Discovery Products] brad.sharp | ||
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| This runs the top level of the patients credit report and is utilized in Insurance Discovery. It will return | 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 | information such as address, gender, SSN. Use Product ID of 2 | ||
| - | ==== InsuranceDiscovery | + | ==== Sharp Coverage Discovery |
| 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 | 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==== | ==== MbiFinder - Product ID: 5==== | ||
| Line 135: | 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.1738939682.txt.gz · Last modified: 2025/02/07 14:48 by brad.sharp