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Verify Benefits and Eligibility for One or More Patients 

DrCloudEHR integrates with the Oregon Health Authority Medicaid Management Information System (MMIS) to provide access to eligibility data for Medicaid recipients.

Requests are submitted once a day to the Oregon Health Authority. Responses may take up to three hours to be returned.

This topic contains the following sections:

Verify Benefits and Eligibility for One or More Patients 

1. Click the Billing tab.
2. Click Eligibility & Benefits in the left hand navigation bar.
3. Select the following:
   • Select the dates the inquiry requests were submitted. This information might be helpful if you want to view the status of requests made over multiple days.
   • Select Medicaid as the Insurance Type.
   • Select one or more Medicaid payers and programs.
   • Select OHA Batch Request as the X12 Partner.
   • If you want to submit a benefits inquiry through the clearinghouse used by the insurance payer, select the name of the EDI connection to use from the X12 Partners menu.
     
     
     
     
4. Click Submit Eligibility & Benefit Requests.

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