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eligibility 5010: Eligibility Requests

Batch processing of eligibility requests.

Export your client demographics -  client first and last names, social security number, and date of birth.  These data elements are imported into the eligibility 5010 application, on your site.  You can type them in if you like. You can send eligibility requests on all of these clients to PA Promise.

You can make daily requests.   A separate file is created for each 10,000 clients you send requests on.

This reduces the time and effort needed to monitor the status and payor relationships of a client. 

If your staffing data (client programs, locations, case managers, scheduled appointments) are also imported then you can produce more detailed reports.

Midnight Sun Computing, LLC is a certified vendor of PA Promise EVS Batch requests.

 

Requirements:

§          Your database must support export of data fields to ASCII text.

§          Your agency will have to apply for a provider identification number.

 

 A demonstration movie of eMedicalAssistance is available.


Current Clients:

Reports:
 
·         complete and exhaustive reports on the status of all clients
·         day to day changes of eligibility
o   on any payor
§ Medicaid
§ Physical health
§ Managed care
o   for a program
o   for a location
o   for a case manager
o   For a date range
o   From one payor (eg. VBH ->CCBHO)
o   changes of client PCP
·         eligibility of
o   clients scheduled for an appointment tomorrow?
o   clients who received service on a given day/week/month? (used for aging accounts)?
o   clients opened in a program during a date range? (eg. Incoming clients)
o   clients on an previous date (used when a client has retroactively changed
·         Special reports on classes of clients such as:
o   SSI eligible clients (useful for DSH (disproportionate share) reports)
o   Access Plus clients (useful for RTF facilities)
o   Any category of assistance (eg. MHX – County clients; may be funded)
·         Reports for case manager caseloads
 
Printing: Reports can be printed to multiple formats (eg. WORD, RTF, PDF, email, excel, XML)

 

Contact Us

Midnight Sun Computing

5136 Butler Street
Pittsburgh PA 15001
Telephone: (412) 438-1333 x5
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