We are sharing tips to help providers and their administrative staff prepare for the upcoming self-service requirements that begin January 1, 2022. PEAR Practice Management (PM) offers transactions that can be used daily by your practice to provide efficient patient care.
TIP #1: Verifying member eligibility
Use the Eligibility & Benefits transaction to obtain the following information for a member's eligibility:
- member identification number
- member date of birth
- gender
- address
- status (of coverage for the indicated date of service)
- group number and group name
- group renewal date
You can search for a patient up to two years back from the current date.
Review the Eligibility & Benefits 101 user guide and eLearning course on the PEAR Help Center to learn more.