Adding Payers to Eligibility Partner - Active Payers List 

  1. If a payer you require is not available in the Eligibility Partner - Active Payers list:

    • During implementation, notify your Implementer to request to add the payer to the list. You must first confirm that the payer currently has electronic capability for Eligibility.

    OR

  2. To request adding payers after implementation is completed, log a case with Support:

    • Enter the Subject/Title of Request: Elig- New Payer Request and Payer Name. 

    • Include Payer:

      • Name.

      • Address.

      • Phone Number.

      • Email Address.

      • Contact Name/Phone.

      • Website.

Important

Review release newsletters to see when the payer is added to the list or you to map. For more information see Managing Eligibility Payer IDs.

  • In the Eligibility Payers Report the Enrollment Req indicator identifies Payers requiring enrollment. If you mapped a new payer that requires enrollment a response can be verified, denied or failed. If response is Failed, notify Support for assistance.

  • To perform electronic Eligibility Verification through a PointClickCare vendor, payers must have an EDI connection.