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Insurance RTE Responses

Across
E-Verified-Coverage is active
Possibly an invalid patient ID or name
Payor is unable to process through RTE at the time
Manual status to alert that insurance has not been verified and needs to be reviewed
Down
E-Rejected; Coverage is inactive, patient is not covered
Coverage will elapse after a certain timeframe
It is a coverage that is not RTE eligible and will not verify. Do not change this status or re-submit the query
Payor returned something different from what was sent, i.e. invalid or missing patient information – ID, Name, Subscriber, Date of Birth