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Eligibility summary PDF FAQs

Patients’ Eligibility PDFs vary based on the information the insurance provider makes available for electronic verifications.

Some payers make more benefits information available, even down to the level of procedure code, deductible, waiting periods, and exclusions. Other payers may only make the basics available, like the patient’s progress toward their deductible and copay amount.

While NexHealth will always return all the information we are being sent, we cannot guarantee the specific information each payer returns.

Here is a sample of the first page of an Eligibility PDF: