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CHECKING ELIGIBILITY & PARTICIPANT IDENTIFICATION …

CHECKING ELIGIBILITY & PARTICIPANT IDENTIFICATION TO ACCESS EVS Web Interactive: A web ELIGIBILITY request window is available to approved providers and other agencies via the PROMISe Provider Portal. Log on at Batch Inquiry: ELIGIBILITY information can be requested by submitting batch ELIGIBILITY inquiries to the electronic bulletin board (EBS). Providers can use purchased software, certifi ed in-house software, or the PROMISe Provider Electronic Solutions (PES) software. More information and certifi cation information can be found at VAN: Value Added Network (VAN) vendors collect requests for ELIGIBILITY information in a real-time interactive processing mode and interface with the PROMISe EVS system .

CHECKING ELIGIBILITY & PARTICIPANT IDENTIFICATION CARDS UNDERSTANDING THE ELIGIBILITY VERIFICATION SYSTEM ˚EVS˛ EVS methods, inquiries, and response formats will not change with the Community HealthChoices implementation. EVS return codes for Community HealthChoices’ managed care plans are: Southwest

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  Eligibility, System, Verification, Eligibility verification system

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