What’s required in the eligibility file for DirectTrust?
Everly Health receives an eligibility file with member and provider information. Required DirectTrust eligibility file header fields:
health_care_provider_npi
Fallback method required headers:
Letter: In the eligibility file, the PCP mailing address is required to successfully transmit a letter to a provider. If a letter is the fallback method, it is expected PCPs will have an address included in the eligibility file records. These eligibility file headers include:
health_care_provider_first_name
health_care_provider_last_name
health_care_provider_address_1
health_care_provider_address_2
health_care_provider_city
health_care_provider_state
health_care_provider_zip
Fax: If the eligibility file, the PCP fax number is required to successfully transmit an efax to a provider. If efax is the fallback method, it is expected PCPs will have a fax number included in the eligibility file records. This eligibility file header includes:
