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Eligibility Presentation
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3.5 The application shall display benefit information that includes the benefit source name 3.6 The application shall display health plan name for all eligible coverages if provided in the 3.7 The application shall display the following patient demographics if returned in the eligibility 3.8 The application shall allow the user to switch between all eligible coverages. Section 3.7 - I read that as requiring we update our demographic info with the return results AND making sure that it is visible??? OR We could display that info, as returned by RxHub, near the top of Rx Manager???? RO-Hopefully we can simply display both sets of information with an option to update or ignore. A GUI highlighting the differences would be the idea. Eleigibility Info elements returned (0 to many) • Health Plan Number/Name • Cardholder ID • Cardholder Last Name, First Name • Relationship Code • Person Code • Group Number, Group Name • Formulary ID, Alternative List ID • Coverage List ID • Copay List ID • BIN • PCN • Type of Prescription Benefit: Pharmacy and/or Mail Order A number of the above items are simply internal IDs we use and the user would not see. RO-But the user should have an easy, direct means to be able to see if desired. I assume this info would go in the same location as the current free text eligibility field in Rx Manager...... In the above requirements I dont read that as requiring all eligibility info to be visible at one time. 
(PBM or Payer) and the eligibility for mail order and retail pharmacy benefits for all eligible
coverages.
eligibility response.
response.
a. Last Name
b. First Name
c. Middle Name
d. Address
e. City
f. State
g. Zip
h. Date of Birth
i. Gender
j. Suffix
