Updates to Coverage Eligibility Response Workflows

Last updated: 30 Jan 2025

• We have added an extension (active-health-benefit-plan-coverage-description) to FHIR CoverageEligibilityResponse that pulls the plan name from the parsed X12 response.
• The status of eligibility checks that have failed in ClaimMD with a 400+ error will now be accurately reflected in the UI and API. The outcome in the FHIR CoverageEligibilityRepsponse endpoint will now return error.
• We have implemented improved handling when processing eligibility responses from ClaimMD that contain empty quantity fields.