RTE Review

123456789
Across
  1. 2. Error response caused by the payor having down time due to maintenance or system issues
  2. 4. Discrepancy occurs such as with the subscriber DOB
  3. 6. An error is received that is not due to the payor having down time
  4. 7. Subscriber ID or Group Number sent in query is incorrect
  5. 8. Allows you to review responses for queries sent for a coverage
  6. 9. Eligibility could not be verified based on the information sent
Down
  1. 1. Patient is covered by payor based on the data sent
  2. 3. Coverage could not be verified based on the data sent
  3. 5. The plan queried does not match the plan indicated in the RTE response
  4. 6. Patient has active coverage with the payor but the plan needs to be verified
  5. 8. Used to verify a patient’s insurance eligibility by sending an electronic query to insurance companies