Do all 5 criteria need to be entered on the Coverage and Benefits inquiry screen to obtain valid results?
This varies by plan, but for most members the Member ID and at least the first initial of the member name are required. Detailed information on search criteria is available on the Coverage and Benefit Search Screen Help tab. 15. If I don’t have a member’s ID number, can I access eligibility information? For members enrolled in plans with prefixes beginning with XG, XV, YG, CTN, CTP, J, MEP, MEN, NHN, or NHP, you may perform a search by entering the member’s first name, last name and date of birth on the Coverage and Benefits Search screen. Exception: Not applicable to XGH prefixes. If more than one possible match is found, you will receive a “Duplicate Patient ID Found” message and will then be prompted to select the appropriate member ID. If AOPS cannot narrow the results to a single patient, you will receive the “Duplicate Patient ID Found” message and will need to use the Member ID and First name search. 16. If I want to check Eligibility and Claim Status information for the same me
