S-BEN-01 · W19 Benefits and Eligibility · fit: unknown
See all of a patient's coverage
As a benefits coordinator, I want one list of everything a patient is covered by, with its dates and the order it is billed in, so that I can see what is missing or expired before the visit.
| Persona | benefits_coordinator |
|---|---|
| Journey | A patient's coverage is recorded |
| Step | Reviews the patient's coverage Task_02_ReviewsThePatientsCoverage |
Scenarios
| S-BEN-01.1 | Given a patient with Medicare and a private policy on file, When I open their coverage, Then both are listed with the insurer, the policy or beneficiary number and the effective and end dates. |
|---|---|
| S-BEN-01.2 | Given a patient with no coverage on file, When I open their coverage, Then the list is empty and I can add coverage. |
| S-BEN-01.3 | Given coverage on file, When I correct its policy or beneficiary number, Then the file that holds that coverage (MEDICARE ELIGIBLE (#9000003), MEDICAID ELIGIBLE (#9000004) or PRIVATE INSURANCE ELIGIBLE (#9000006)) holds the corrected number and its eligibility dates are unchanged. |
| S-BEN-01.4 | Given coverage on file that no claim has been billed to, When I delete it, Then that coverage file no longer holds it and the patient's other coverage is unchanged. |