eServices: Eligibility Options Module

Published 06/13/2025

To protect beneficiaries from Medicare fraud, beneficiary eligibility information was removed from our Interactive Voice Response (IVR) systems.

Providers and suppliers must check beneficiary eligibility through the eServices portal, billing agencies, clearinghouses, software vendors, or the Health Insurance Portability and Accountability Act (HIPAA) Eligibility Transaction System (HETS). 

We have created an educational module to provide more information on how to use the eServices portal to check beneficiary eligibility. To view this module, please select one of the links below:


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