Claim history considered during eligibility
Patient’s who have previously had denied claims, may be more reliably prevented from being given ELIGIBLE responses within ServiceEligibility.
If this is patient-specific, there may be an explicit message in the messages array.
This will be detected across distinct Patient and Policy resources.
If a Patient’s insurance policy changes, it will be evaluated independently.
If you believe a patient is being incorrectly flagged, or the issue has been addressed without insurance changing, contact Bridge and these restrictions can be bypassed.