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Eligibility & Benefits Inquiry
Eligibility & Benefits Inquiry
Inquiry
*
Payer
Northwind Health Commercial
Northwind Health Medicare Advantage
Evergreen State Health Plan
*
Service type
Surgical
Health Benefit Plan Coverage
Physical Therapy
Diagnostic Medical
*
Provider NPI
*
Provider Tax ID
*
Patient / Member ID
*
Date of birth
Submit inquiry
Prior authorization:
Required
Member & coverage
Active
Member
SAMPLE, Jordan M
Member ID
NWH100200A
Date of birth
01/01/1952
Payer / plan
Northwind Health Commercial — Choice PPO
Group number
NWH-4471
Coverage effective
01/01/2026 – 12/31/2026
Surgical copay
$250 (facility)
Visit limit
No limit (surgical)
Prior authorization is
required
for surgical services under this plan. Start an authorization request to submit the clinical packet.
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Start authorization request
No authorization required.
Prior authorization is not required for this procedure/payer combination. No submission is needed — document the eligibility result and close the task.
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