Eligibility Response not parsing into table

Day-to-Day Users
,
#1

We have sent out and received an eligibility response from Florida Medicaid. When the file is imported, the system says that the import was successful but when we check the patient’s chart. The response does not show. I checked the response table and there is no data in the eligibility_response table or the eligibility_verfication table.

We are using v5.0.0, MariaDB, Linux OS

Is there a patch of fix for this?

How to Validate Patient's Insurance Eligibility
4.1.2 dev 270/271
#2

Any errors in the php log by chance?

#3

I just ran the file again and there are no error messages. The system seems to create the proper request. The response import code does not match what is in the response file so the import cannot happen.

I found this sample 271 eligibility response file.

#4

this value is usually `~

#7

hi @juggernautsei , please see this simple fix to segment delimiter by stephenwaite · Pull Request #1066 · openemr/openemr · GitHub

#8

Thanks for the simple fix. I will pass it along to the EU.

#9

hi Brady,

I’m trying to snd batch to ClaimMD. the request batch pulls patient’s SSN as patient ID and puts has the Payer ID as “CLAIMMD” not the ins company’s CMS ID.

how do i fix that?

Thank you

#10

hi @amireltaweel, do you have claimd’s specs for the 270/271? thank you

ps it looks like you’ll probably want this

to be changed from i.subscriber_ss to i.policy_number