--- title: "GET /api/eligibility_checks_list" method: GET path: "/api/eligibility_checks_list" tags: ["Billing"] --- # GET /api/eligibility_checks_list `GET /api/eligibility_checks_list` Retrieve or search eligibility checks in batches. Results returned in order of ID or updated_at. ## Query parameters - `uuid` string ## Response `200` OK - object — Paginated Result - `status` string — Status of the request. Possible values are "Complete" or "In progress". - `pagination` object — information on the total pages, current page and total count. - `count` unknown - `pages` unknown - `page` unknown - `results` Coverage[] — result data. only presented when the status is "Complete" - `coverage_subscriber` string — A variable size object containing subscriber information, if returned by the clearinghouse that ran the eligibility check - `appointment` string - `eligibility` string — Value | Description --- | ---- `'1'` | Active Coverage `'2'` | Active - Full Risk Capitation `'3'` | Active - Services Capitated `'4'` | Active - Services Capitated to Primary Care Physician `'5'` | Active - Pending Investigation `'6'` | Inactive `'7'` | Inactive - Pending Eligibility Update `'8'` | Inactive - Pending Investigation `'A'` | Co-Insurance `'B'` | Co-Payment `'C'` | Deductible `'CB'` | Coverage Basis `'D'` | Benefit Description `'E'` | Exclusions `'F'` | Limitations `'G'` | Out of Pocket (Stop Loss) `'H'` | Unlimited `'I'` | Non-Covered `'J'` | Cost Containment `'K'` | Reserve `'L'` | Primary Care Provider `'M'` | Pre-existing Condition `'MC'` | Managed Care Coordinator `'N'` | Services Restricted to Following Provider `'O'` | Not Deemed a Medical Necessity `'P'` | Benefit Disclaimer `'Q'` | Second Surgical Opinion Required `'R'` | Other or Additional Payor `'S'` | Prior Year(s) History `'T'` | Card(s) Reported Lost/Stolen `'U'` | Contact Following Entity for Eligibility or Benefit Information `'V'` | Cannot Process `'W'` | Other Source of Data `'X'` | Health Care Facility `'Y'` | Spend Down - `payer_name` string — The name of the payer as returned by the clearinghouse that ran the eligibility check - `coverage_details` string — A variable size object containing the details of the eligibility check, if returned by the clearinghouse that ran the eligibility check - `updated_at` string — Timestamp of most recent record update - `query_date` string — The time at which the request was made - `service_type_description` string - `patient` string - `request_service_type` '1' | '2' | '3' | '4' | '5' | '6' | '7' | '8' | '9' | '10' | '11' | '12' | '13' | '14' | '15' | '16' | '17' | '18' | '19' | '20' | '21' | '22' | '23' | '24' | '25' | '26' | '27' | '28' | '30' | '32' | '33' | '34' | '35' | '36' | '37' | '38' | '39' | '40' | '41' | '42' | '43' | '44' | '45' | '46' | '47' | '48' | '49' | '50' | '51' | '52' | '53' | '54' | '55' | '56' | '57' | '58' | '59' | '60' | '61' | '62' | '63' | '64' | '65' | '66' | '67' | '68' | '69' | '70' | '71' | '72' | '73' | '74' | '75' | '76' | '77' | '78' | '79' | '80' | '81' | '82' | '83' | '84' | '85' | '86' | '87' | '88' | '89' | '90' | '91' | '92' | '93' | '94' | '95' | '96' | '97' | '98' | '99' | 'A0' | 'A1' | 'A2' | 'A3' | 'A4' | 'A5' | 'A6' | 'A7' | 'A8' | 'A9' | 'AA' | 'AB' | 'AC' | 'AD' | 'AE' | 'AF' | 'AG' | 'AH' | 'AI' | 'AJ' | 'AK' | 'AL' | 'AM' | 'AN' | 'AO' | 'AQ' | 'AR' | 'B1' | 'B2' | 'B3' | 'BA' | 'BB' | 'BC' | 'BD' | 'BE' | 'BF' | 'BG' | 'BH' | 'BI' | 'BJ' | 'BK' | 'BL' | 'BM' | 'BN' | 'BP' | 'BQ' | 'BR' | 'BS' | 'BT' | 'BU' | 'BV' | 'BW' | 'BX' | 'BY' | 'BZ' | 'C1' | 'CA' | 'CB' | 'CC' | 'CD' | 'CE' | 'CF' | 'CG' | 'CH' | 'CI' | 'CJ' | 'CK' | 'CL' | 'CM' | 'CN' | 'CO' | 'CP' | 'CQ' | 'DG' | 'DM' | 'DS' | 'GF' | 'GN' | 'GY' | 'IC' | 'MH' | 'NI' | 'ON' | 'PT' | 'PU' | 'RN' | 'RT' | 'TC' | 'TN' | 'UC' — Value | Description --- | ---- `'1'` | Medical Care `'2'` | Surgical `'3'` | Consultation `'4'` | Diagnostic X-Ray `'5'` | Diagnostic Lab `'6'` | Radiation Therapy `'7'` | Anesthesia `'8'` | Surgical Assistance `'9'` | Other Medical `'10'` | Blood Charges `'11'` | Used Durable Medical Equipment `'12'` | Durable Medical Equipment Purchase `'13'` | Ambulatory Service Center Facility `'14'` | Renal Supplies in the Home `'15'` | Alternate Method Dialysis `'16'` | Chronic Renal Disease (CRD) Equipment `'17'` | Pre-Admission Testing `'18'` | Durable Medical Equipment Rental `'19'` | Pneumonia Vaccine `'20'` | Second Surgical Opinion `'21'` | Third Surgical Opinion `'22'` | Social Work `'23'` | Diagnostic Dental `'24'` | Periodontics `'25'` | Restorative `'26'` | Endodontics `'27'` | Maxillofacial Prosthetics `'28'` | Adjunctive Dental Services `'30'` | Health Benefit Plan Coverage `'32'` | Plan Waiting Period `'33'` | Chiropractic `'34'` | Chiropractic Office Visits `'35'` | Dental Care `'36'` | Dental Crowns `'37'` | Dental Accident `'38'` | Orthodontics `'39'` | Prosthodontics `'40'` | Oral Surgery `'41'` | Routine (Preventive) Dental `'42'` | Home Health Care `'43'` | Home Health Prescriptions `'44'` | Home Health Visits `'45'` | Hospice `'46'` | Respite Care `'47'` | Hospital `'48'` | Hospital - Inpatient `'49'` | Hospital - Room and Board `'50'` | Hospital - Outpatient `'51'` | Hospital - Emergency Accident `'52'` | Hospital - Emergency Medical `'53'` | Hospital - Ambulatory Surgical `'54'` | Long Term Care `'55'` | Major Medical `'56'` | Medically Related Transportation `'57'` | Air Transportation `'58'` | Cabulance `'59'` | Licensed Ambulance `'60'` | General Benefits `'61'` | In-vitro Fertilization `'62'` | MRI/CAT Scan `'63'` | Donor Procedures `'64'` | Acupuncture `'65'` | Newborn Care `'66'` | Pathology `'67'` | Smoking Cessation `'68'` | Well Baby Care `'69'` | Maternity `'70'` | Transplants `'71'` | Audiology Exam `'72'` | Inhalation Therapy `'73'` | Diagnostic Medical `'74'` | Private Duty Nursing `'75'` | Prosthetic Device `'76'` | Dialysis `'77'` | Otological Exam `'78'` | Chemotherapy `'79'` | Allergy Testing `'80'` | Immunizations `'81'` | Routine Physical `'82'` | Family Planning `'83'` | Infertility `'84'` | Abortion `'85'` | AIDS `'86'` | Emergency Services `'87'` | Cancer `'88'` | Pharmacy `'89'` | Free Standing Prescription Drug `'90'` | Mail Order Prescription Drug `'91'` | Brand Name Prescription Drug `'92'` | Generic Prescription Drug `'93'` | Podiatry `'94'` | Podiatry - Office Visits `'95'` | Podiatry - Nursing Home Visits `'96'` | Professional (Physician) `'97'` | Anesthesiologist `'98'` | Professional (Physician) Visit - Office `'99'` | Professional (Physician) Visit - Inpatient `'A0'` | Professional (Physician) Visit - Outpatient `'A1'` | Professional (Physician) Visit - Nursing Home `'A2'` | Professional (Physician) Visit - Skilled Nursing Facility `'A3'` | Professional (Physician) Visit - Home `'A4'` | Psychiatric `'A5'` | Psychiatric - Room and Board `'A6'` | Psychotherapy `'A7'` | Psychiatric - Inpatient `'A8'` | Psychiatric - Outpatient `'A9'` | Rehabilitation `'AA'` | Rehabilitation - Room and Board `'AB'` | Rehabilitation - Inpatient `'AC'` | Rehabilitation - Outpatient `'AD'` | Occupational Therapy `'AE'` | Physical Medicine `'AF'` | Speech Therapy `'AG'` | Skilled Nursing Care `'AH'` | Skilled Nursing Care - Room and Board `'AI'` | Substance Abuse `'AJ'` | Alcoholism `'AK'` | Drug Addiction `'AL'` | Vision (Optometry) `'AM'` | Frames `'AN'` | Routine Exam `'AO'` | Lenses `'AQ'` | Nonmedically Necessary Physical `'AR'` | Experimental Drug Therapy `'B1'` | Burn Care `'B2'` | Brand Name Prescription Drug - Formulary `'B3'` | Brand Name Prescription Drug - Non-Formulary `'BA'` | Independent Medical Evaluation `'BB'` | Partial Hospitalization (Psychiatric) `'BC'` | Day Care (Psychiatric) `'BD'` | Cognitive Therapy `'BE'` | Massage Therapy `'BF'` | Pulmonary Rehabilitation `'BG'` | Cardiac Rehabilitation `'BH'` | Pediatric `'BI'` | Nursery `'BJ'` | Skin `'BK'` | Orthopedic `'BL'` | Cardiac `'BM'` | Lymphatic `'BN'` | Gastrointestinal `'BP'` | Endocrine `'BQ'` | Neurology `'BR'` | Eye `'BS'` | Invasive Procedures `'BT'` | Gynecological `'BU'` | Obstetrical `'BV'` | Obstetrical/Gynecological `'BW'` | Mail Order Prescription Drug: Brand Name `'BX'` | Mail Order Prescription Drug: Generic `'BY'` | Physician Visit - Office: Sick `'BZ'` | Physician Visit - Office: Well `'C1'` | Coronary Care `'CA'` | Private Duty Nursing - Inpatient `'CB'` | Private Duty Nursing - Home `'CC'` | Surgical Benefits - Professional (Physician) `'CD'` | Surgical Benefits - Facility `'CE'` | Mental Health Provider - Inpatient `'CF'` | Mental Health Provider - Outpatient `'CG'` | Mental Health Facility - Inpatient `'CH'` | Mental Health Facility - Outpatient `'CI'` | Substance Abuse Facility - Inpatient `'CJ'` | Substance Abuse Facility - Outpatient `'CK'` | Screening X-ray `'CL'` | Screening laboratory `'CM'` | Mammogram, High Risk Patient `'CN'` | Mammogram, Low Risk Patient `'CO'` | Flu Vaccination `'CP'` | Eyewear and Eyewear Accessories `'CQ'` | Case Management `'DG'` | Dermatology `'DM'` | Durable Medical Equipment `'DS'` | Diabetic Supplies `'GF'` | Generic Prescription Drug - Formulary `'GN'` | Generic Prescription Drug - Non-Formulary `'GY'` | Allergy `'IC'` | Intensive Care `'MH'` | Mental Health `'NI'` | Neonatal Intensive Care `'ON'` | Oncology `'PT'` | Physical Therapy `'PU'` | Pulmonary `'RN'` | Renal `'RT'` | Residential Psychiatric Treatment `'TC'` | Transitional Care `'TN'` | Transitional Nursery Care `'UC'` | Urgent Care - `id` integer — System identifier - `cob_level` string — The level of insurance the eligibility check was run on. Can be one of the following: `Primary Insurance` or `Secondary Insurance` - `uuid` string — UUID of the batch. ## Other responses - `400` — Bad Request - `401` — Unauthorized - `403` — Permission Denied - `404` — Not Found - `500` — Internal Server Error --- [API](https://skmtc.net/drchrono/apis/untitled-api.md) · [All operations](https://skmtc.net/drchrono/apis/untitled-api/llms.txt) · [OpenAPI document](https://skmtc-service-staging.skmtc.workers.dev/v1/apis/drchrono/untitled-api/versions/e595797fe800/schema)