MEDICARE Part D >> Eligibility

Eligibility is the king and ECT bows to that king.  If the membership to Med D plans is not correct there are a multitude of issues which impact customer service and costs:

  • Denied claims and access to care
  • Incorrect pricing
  • Claims paying that are inappropriate
  • Incorrect CMS reporting

ECT has processes and services to ensure correct eligibility.  These include:

  • Membership validity
  • COB verification
  • LIS eligibility reporting and validation
  • Reporting to CMS and the COB coordinator
  • Benefits and eligibility audits