How to Search for Member Eligibility Confirmation

You can search for whether a provider has verified a member's eligibility and received a YES confirmation that the member was eligible to receive Medicaid benefits. The search for the member's eligibility can be done using the member ID and type, a provider ID and type, a confirmation number, or confirmation dates.

To search for and verify a member's eligibility

1. On the Provider menu, point to Providers and then click Member Eligibility Confirmation.

2. On the Eligibility Confirmation Search page, complete the fields.

   Tip: At least one field is required to do a search. However, if you search by a Member ID, the Member ID Type must be selected. Likewise, if you search by a Provider ID, the Provider ID Type must be selected. When using a confirmation date, it requires that either the Member ID/Member ID Type combination or the Provider ID/Provider ID Type combination be entered.

3. Click Search.

   If more than one match is found, a results table with matches is displayed. Click the up or down arrow next to a column heading to sort the table in ascending or descending sequence according to that column. Click a row to display that match.

   If one match is found, it is displayed instead of the results table.

   If no matches are found, a message is displayed with the option to click Reset to clear all fields and enter new search information. If too many matches are found, click Reset and search using additional options.

See Also

Eligibility Confirmation Search Page

What is Member Eligibility Confirmation?

About Provider

Version as of 5/16/14.