Purpose
Tell NPHIES what you want to check and for which date.
Service date is missing. Enter a service date, or a start and end date, before you continue.
Purpose of eligibility check
Select at least one purpose.
Validation and Benefits need a service date.
Priority
How urgently NPHIES processes the request. Default is Normal.
Service date
Enter one date, or a start and an end dateSingle date of service, today or later.
Enter a service date, or switch to Date Range.
First day of service.
On or after the start date.
You have changes that are not saved. Save a draft to pick up later. A draft stays in RaneemHCP and is not sent to NPHIES.