HealthXnet®
The online community health information network established by the HealthXnet®Eligibility and Benefits Tip Sheet
Indicate Payer--Required
Select payer from the drop down list. You may either select a specific payer, or "All in list".
Subscriber--Required
Two of the following are required:
*Three of the following fields are required for Lifetime Benefit Solutions, formerly EBS-RMSCO and YourCare (Member last/first name, member number, and patient DOB)
- Member Last Name and First Name
- Member Number
- Date of Birth
- Social Security Number
Also required:
- Minimum of 1 and maximum of 10 Service Types
Optional:
- Gender
If you do not enter the required information, once you submit, you will be prompted with an error message at the top of your screen. If you submit one of the two requirements, the error message will prompt you to submit one of the other three possible options.
Please fix the following errors:
You must specify the following:
- Subscriber Last Name
- Member Number
- Subscriber Member Number
- Maximum of 10 Service Types
If the patient is a Dependent, first click the radio button next to Dependent (the default is the subscriber)
The following fields are required:
- Subscriber Member Number
- Dependent Last Name
- Dependent First Name
- Dependent Date of Birth
If you do not enter the required information, once you submit, you will be prompted with an error message at the top of your screen. Please follow the error message as it will direct you as to what information was incorrect or missing.
Please fix the following errors:
For dependent requests, you must specify the following:
- Subscriber
Member Number
- Dependent Last Name
- Dependent First Name
- Dependent
Date of Birth
Eligibility Date
If you do not enter a Eligibility Date the current date will be used.
Service Types
Hold down the CTRL or Option key to select multiple service types (up to 10 service types may be selected at a time). The default setting is "General Benefits"
Click the Submit button
Note: "Required Application Data Missing" error notice often indicates a need to input additional identifying subscriber information (i.e name, dob, SS# and (or) id #.) Please contact the respective provider relations department should you require additional assistance.
Hide/Show Buttons
The Hide Plan Benefits button will hide the displayed plan benefits. The Show Plan Benefits button will display the plan benefits.
The Show All Benefits button will expand every benefit listed below the button. The Hide All Benefits button will close all expanded benefits.
How to Print the Eligibility Repsonse 
The eligibility response is its own "Printer Friendly Page" and can be printed directly from your browser. Only the "expanded" benefits will be printed. You can expand benefits by clicking on them individually or expand all the benefits with the Show All Benefits button.
Helpful Hints for All Payers
Eligibility Date: Defaults to today's date. Date may be back dated. Future dates, up to 30 days, may be available for some payers. Please see Payer Specific Hints for more information.
The date displayed in the upper left-hand part of the Eligibility Response screen indicates the date and time the eligibility request was made. This NOT the member's eligibility date. Please look in the Plan Benefit Detail for the member's eligibility date.
HealthXnet® payers are providing "Other Insurance" information which is member self-reported. The accuracy of this data CAN NOT be guaranteed, but rather serves as an indicator that there MAY be other insurance coverage for the member. It is strongly suggested that any "Other Insurance" information returned on an eligibility response be verified by the user.
In and Out of Network indicators
- Y - Yes (In Network)
- N - No (Out of Network)
- W - Benefit is the same whether In Network or Out of Network