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