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CGX/PGX Directions for Medicare


 

1. Login as normal.
 
2. In the Instant Eligibility screen Enter Payer, Provider, and Subscriber (patient) information. Medicare Service Type will be preset and does not need additional action. Press Verify.

 

3. The dashboard will display current verification information. Note Active/Inactive and if a PPO/HMO is present. Review Dashboard to confirm desired qualification needs. ALWAYS scroll down to view details to confirm qualification needs. (Qualification needs vary by client and will not be specified by pVerify)

 

4. Example of standard Medicare Part A & B. *ALWAYS scroll down to view details to confirm desired qualification needs. (Qualification needs vary by client and will not be specified by pVerify)

 
 

5. Example of Medicare with HMO/ Medicare Advantage Plan. *ALWAYS scroll down to view details to confirm desired qualification needs. (Qualification needs vary by client and will not be specified by pVerify)

 
 

6. Always scroll down to view details to confirm desired qualification needs. (Qualification needs vary by client and will not be specified by pVerify)