hipaa eligibility transaction system

How to check if a patient has received his/her first Annual Wellness Visit (AWV) from another provider?

Providers have different options for accessing Annual Wellness Visit (AWV) eligibility information depending on the jurisdiction in which they reside.

For example, Medicare Administrative Contractors (MACs) who have Internet portals provide the information through the eligibility screens of the portals.

The information is also provided through the HIPAA Eligibility Transaction System (HETS), as well as HETS User Interface, or the Common Working File (CWF), through the provider call center Interactive Voice Responses (IVRs).

CMS suggests that providers check with their MAC to see what options are available to check eligibility for the AWV, as well as other preventive services.

Reference: https://questions.cms.gov/faq.php?id=5005&faqId=3537

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