Patient Eligibility Enhancements
Overview of recent updates to the Patient Eligibility Response interface.
This document outlines recent updates to the Patient Eligibility Response interface. These changes are designed to streamline data presentation, improve navigation efficiency, and prioritize high-value information.
Summary
Field Updates
Following fields have been removed as they were identified as low-usage data points:
- Date of Birth (DOB)
- Address
- City, State and Zip Code in patient section
We have introduced several new disabled fields in summary:
- Coverage Service Types
- Relationship to Subscriber
- Group Name also introduced alongside with Group ID
Note: When the user hovers over the coverage service field, a tooltip displays the description of that service type.
Hospice Status
If patient is hospice a red status will appear Infront of the name as "Patient in hospice".
We have introduced 'All Network,' 'In Network,' and 'Out of Network' tabs. Selecting a tab filters the coverage grid to show only the relevant data.
In coverage grid we have renamed "amount" column to "Status", and previously we had active and in active as column fields which is now changed to covered and non-covered.
Patient Eligibility Response - Noncovered:
Patient Eligibility Response - Co Payment:
Patient Eligibility Response - Co Insurance:
Patient Eligibility Response - Primary Care Provider:
The separate tabs for Deductible, Limitations, and Out of Pocket have been removed. These fields are now grouped together within the new Plan Maximums and Deductibles window.
We have introduced a new Benefit Information tab. This section displays a list of all covered patient benefits as expandable cards. Opening a card reveals detailed information such as Insurance Type, Co-Pay, and Co-Insurance.
Patient Eligibility Response - Others: