SPOT eligibility feature
The eligibility feature in SPOT provides real-time Medicare-related beneficiary information directly from the HIPAA Eligibility Transaction System (HETS). Use this feature to obtain your patient’s Medicare plan effective date, remaining deductible amount, coinsurance percentages, preventive service dates, and much more.
The eligibility feature’s information is organized into the following sections:
- Eligibility
- Deductibles/Caps
- Preventive
- Medicare Secondary Payer (MSP)
- Medicare Advantage Plan (MAP)
- Hospice / Home Health
- Inpatient
- Qualified Medicare Beneficiary (QMB)
- Part B Immunosuppressant Drug Benefit (PBID)
All SPOT users have access to this feature, and HETS attestation is not required. Details and screen images are available in the SPOT User Guide, Section 3.
If you are not yet experiencing the many benefits of SPOT, visit How to register for SPOT and begin the enrollment process today.