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RTE Responses

Across
E-Verified; Coverage is active
Status manually entered by user to alert that insurance has not been verified and needs to be reviewed
Status manually entered by user for coverage that is duplicate or never active for the patient
Status manually entered by user for coverage that has been verified as eligible by an online payor portal
Real time eligibility query ran to determine the status of a patients coverage
Possibly an invalid patient ID or name
Down
Coverage that is not RTE enabled. Contact payor to verify the status of coverage
E-Rejected; Coverage is inactive, patient is not covered
Payor returned something different from what was sent, i.e. invalid or missing patient information – ID, Name, Subscriber, Date of Birth
Status manually entered by user for coverage that has been verified as eligible by calling the payor
Payor is unable to process through RTE at the time
Coverage will elapse after a certain timeframe