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To run eligibility for Physician

Search through License No., NPI, Provider ID, or Provider Name.

  • Submitted, Paid, and Denied claims can be viewed to claim inquiry
  • Search by using consumers Penn Medicaid Recipient number and the date range of the claim looking for
  • To verify consumers eligibility, type in Penn Medicaid Recipient ID, Date of Birth, and select 12- Durable Medical Equipment on service type code.
  • Sample Active Consumer
  • Things to check for eligibility
    • Category
    • Insurances, HMO and MCO
    • Eligibility Detail of DME