Patient Insurance Eligibility Information

The Patient Insurance Eligibility Information feature allows the user to perform an eligibility check and receive eligibility information on specific patient insurances.

The POST will trigger athena’s eligibility service to send a 270 eligibility request to the given/specified payer. 

The GET will retrieve the most recent 271 eligibility response that athena has received from that payer.

Please note that this feature will not work in Preview environments for testing because athena’s eligibility service is only live in our Production environment. Therefore, nothing will be sent even if you retrieve a success with your preview credentials.
 

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Submit
Get patient's insurance benefit-details
GET
/v1/{practiceid}/patients/{patientid}/insurances/{insuranceid}/benefitdetails

Retrieves eligibility information for a specific insurance

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Input Parameters

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Example Code
Create patient's insurance benefit-details
POST
/v1/{practiceid}/patients/{patientid}/insurances/{insuranceid}/benefitdetails

Send eligibility check for a specific insurance

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Input Parameters

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Example Code