Functionality to Display Future Eligibility Status to Be Added to NCTracks

Effective April 25, 2021, NCTracks will offer the capability within the Provider Portal, Recipient Portal and Eligibility Verification System (EVS) to display a beneficiary’s eligibility and managed care enrollment details for the month following the current month when a beneficiary eligibility inquiry is submitted (previously eligibility/enrollment details were only available through the current month). This eligibility and enrollment information will include the Benefit Plan ID and, as applicable, the Managed Care Entity ID. 

For example, if eligibility details are requested for the following time spans and the current month is April:

  • Request is for January-April – January, February, March, April, and May eligibility will be returned
  • Request is for January-May – January, February, March, April, and May eligibility will be returned
  • Request is for January-March – January, February, and March eligibility will be returned
  • Request is for April – April and May eligibility will be returned
  • Request is for May – May eligibility will be returned

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M21091-R-2442