retrieveDemographicsAndEligibilityDetails

A plan management vendor requests eligibility details for an enrollment. The eligibility details and details for each person in the enrollment are returned from IBM Cúram Health Care Reform.

Request

Data Member Type Description
EnrollmentDetails EnrollmentDetails The health care retrieve eligibility request containing the enrollment ID.

Response

Data Member Type Description

EligibilityAnd
DemographicDetails

EligibilityAnd
DemographicDetails

Response containing eligibility details, details about each person in the enrollment group, previous enrollments for each person being enrolled and details about assistors.