Eligibility and Benefits Inquiry

Determine health plan member eligibility. Results vary by health plan but can include specific information regarding PCP assignment, service level copays, remaining deductible amounts, and other detailed benefits information. Please refer to HealthXnet's Payer List for currently available eligibility inquiry health plans. HealthXnet's Eligibility Verifications solution featured in Texas Hospitals magazine

Batch Medicaid Eligibility for Self Pay

HealthXnet's Batch Medicaid Eligibility tool allows you to find out quickly and easily how many of your self pay patients are actually covered by Medicaid. This tool is included with your Eligibility and Benefits Inquiry subscription.

*Per inquiry charges may apply to some subscription types.

Claim Status Inquiry

Identify the status of a specified patient's claim from your organization. Response details vary by health plan but can include check number, payment amount, service line payment itemization, and (when applicable) detailed denial or payment adjustment reasons.