Checking Batch Eligibility Results

*Every Sunday night, the system automatically checks the status of all clients with third party payers. On Monday morning, you will be required to view the list of all clients who are showing as newly “inactive” and confirm their current status.

• To view the list, click on Third Party from the SAMMS main menu and select Billing Queue

• Click on Eligibility Check Failures and a grid will display with the names and third party payer information for all clients showing as inactive.
• Click on the first client to be checked in the grid.

• The Manual Eligibility Check screen will display.

• Click on View Payer Info to view contact information for the third party payer.
• The Third Party Payer screen will display.
• Using the displayed Telephone number, contact the payer to confirm status.
• In the Manual Eligibility Check screen, select the Method you used to contact the third party payer from the drop down menu.
• From the drop down menu, select a Staff Decision on the disposition of the case.
• You may enter any additional information in the Staff Comment box.

*If you have received any documents related to this matter, they may be scanned into the system by clicking on the Attach Scan button.

By clicking on Post Response to Client Account, the new information is saved, and the client is removed from the Eligibility Check Failures list on the grid.

*Continue to check the status of all the names on the Eligibility Check Failures list until the grid is empty.