How do I check eligibility for a past date?

Last Updated March 14th, 2017

In order to request eligibility for a prior date, utilize the parameter member.plan_start_date. It is recommended in the X12 specifications that trading partners support eligibility requests as far in the past as their timely filing limitations for claims (ex: if trading partner A accepts claims 18 months back, they should allow eligibility submissions for the same time period).

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