Executive summary. Organize coverage review work without treating any response as a payment guarantee.
Definition
The Eligibility workspace is the Attergo Billing area for reviewing coverage-related information and follow-up tasks.
Who this is for
Billing specialists and patient-access teams checking coverage ahead of service.
How to begin
Open the Eligibility workspace from Billing and read the coverage detail against the service date and the payer.
Complete the workflow
Route unresolved coverage questions through the payer or patient-access workflow. Give patients estimates carefully, and avoid promising payment.
Frequently asked questions
Does eligibility mean the claim will be paid?
No. Authorization, coding, benefits, and adjudication all still affect payment.
Referenced standards and further reading
- Attergo product guide ↗Attergo
Related articles
The 837P lifecycle: from encounter to acknowledgement →