Eligibility Check

Invoices can be used to collect payments from patients. Invoices can be directly sent to the patient's email for a patient to complete or can be automatically collected if the patient's billing information is on file.

The eligibility_check model

Name
id
Type
string
Description
Unique identifier for the Eligibility Check.
Name
object
Type
string
Description
Always 'eligibility_check'.
Name
patient
Type
string
Description
Patient Eligibility Check is associated with.
Name
provider
Type
string
Description
The patient's provider name.
Name
insurance_policy
Type
string
Description
The name of the Patient's insurance policy.
Name
group_number
Type
string
Description
The name of the Patient's insurance policy.
Name
plan_start_date
Type
string
Description
The name of the Patient's insurance policy.
Name
planstatus
Type
array of objects
Description
Relevant planstatus for eligibility_check.
Name
benefit
Type
array of objects
Description
Relevant benefit for eligibility_check.
Name
response
Type
object
Description
The full, unparsed 271 file received from payer.
Name
created_by
Type
string
Description
Creator of the invoice.
Name
created_at
Type
number
Description
Timestamp (in ISO 8601 format) of when the invoice was created.

Response

{
    "id": "elck_m6TVCgqM9BMNcOF5lsl8",
    "object": "eligibilityCheck",
    "patient": "user_Z1zXZKvqrpwxbznuW6lJ",
    "provider": "user_tIaZsBPeECJG82W5vqn8",
    "insurance_policy": "plcy_uwtVfmQlU0zMryaFjQg4",

    "group_number": "sendInvoice",
    "plan_start_date": "sendInvoice",

    "PlanStatus": [
        {
            "statusCode": "needs_review",
            "status": "user_idjkvxZTqfJD734feQHa",
            "plan_details?": "user_QtD0YaeDw4VyS9UPBpX4",
            "service_type_codes": 1684220332000,
        }
    ],
    "Benefit": [
        {
            "code": "in_progress",
            "name": "user_idjkvxZTqfJD734feQHa",

            "insurance_type_code?": 1653798303000,
            "insurance_type?": "user_idjkvxZTqfJD734feQHa",
            "plan_coverage?": "user_idjkvxZTqfJD734feQHa",

            "coverage_level_code?": "user_idjkvxZTqfJD734feQHa",
            "coverage_level?": "user_idjkvxZTqfJD734feQHa",
            "service_type_codes?": "user_idjkvxZTqfJD734feQHa",
            "service_types?": "user_idjkvxZTqfJD734feQHa",

            "time_qualifier_code?": "user_idjkvxZTqfJD734feQHa",
            "time_qualifier?": "user_idjkvxZTqfJD734feQHa",
            "benefit_amount?": "user_idjkvxZTqfJD734feQHa",
            "benefit_percent?": "user_idjkvxZTqfJD734feQHa",

            "auth0rCertIndicator?": "user_idjkvxZTqfJD734feQHa",

            "in_plan_network_indicator_code?": "user_idjkvxZTqfJD734feQHa",
            "in_plan_network_indicator?": "user_idjkvxZTqfJD734feQHa",

            "additional_information": "user_idjkvxZTqfJD734feQHa",
        },
    ],
    "created_by": "user_Z1zXZKvqrpwxbznuW6lJ",
    "created_at": 1653798303000,
}