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sharp_revenue_testing_guide [2025/04/09 13:37] – [InsuranceDiscovery - Product ID: 3] brad.sharpsharp_revenue_testing_guide [2025/06/05 20:09] (current) – [Eligibility/Insurance Discovery Products] brad.sharp
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 ==== Eligibility/Insurance Discovery Products==== ==== Eligibility/Insurance Discovery Products====
 The behavior of the service is largely dependent on the name of the subscriber / guarantor:² The behavior of the service is largely dependent on the name of the subscriber / guarantor:²
-  * **Note Use Payer** Payer Number: 00015 and PayerName:BCBS of Indiana (Anthem)+  * **Note Use Payer** Payer Number: 00015 and PayerName:BCBS of Indiana (Anthem) if using the claim payer id use '00630' and set the property "isRevenueToolsPayerId" to false
   * **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.1744205820.txt.gz · Last modified: 2025/04/09 13:37 by brad.sharp

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