Page Comparison

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Provide accurate and timely indication of whether presenting individual is eligible for health care coverage at this point in time at this location and if specific services to be rendered are covered by the individual’s benefits plan

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• Beneficiary identifier

• Provider identifier

• Benefits class

• Benefit plan

• Encounter date

• Beneficiary accumulator

• Demographic criteria

• Clinical criteria

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• Time-based eligibility status

• Benefit cap

• Pre- authorization

• Beneficiary accumulators

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