Online Panel Help Print
Member Eligibility Verification-Request
The member eligibility verification request panel allows providers and billing agents to request eligibility verification information for Georgia Medicaid members.

Navigation Path for providers and billing agents: [Eligibility] – [Eligibility Request]
Field Descriptions:
FieldDescription
clearThis button clears the search criteria fields.
searchThis button is used to initiate the search.
Birth DateDisplays the date of birth of the member to search by.
First NameDisplays the first name of the member to search by.
From/Thru Date Of ServiceDisplays the date of service requested to receive member eligibility information against.
GenderDisplays the gender of the member to search by.
Last NameDisplays the last name of the member to search by.
Member IDDisplays the Georgia Medicaid identification number of the member to search by.
SSNDisplays the Social Security number of the member to search by.
Service TypeDisplays the service type of the member to search by.
FieldError MessageTo Correct
search Invalid search criteria combination. Search criteria is limited to one of the following: Member ID, Date of Service; Birth Date, Gender, Name, and Date of Service; Birth Date, SSN, and Date of Service; or Name, SSN, and Date of Service.Enter either a Member ID, Date of Service OR Birth Date, Gender, Name, and Date of Service OR Birth Date, SSN, and Date of Service OR or Name, SSN, and Date of Service.
First Name entered without a Last Name.Enter the last name.
Last Name entered without a First Name.Enter the first name.
No match using search criterias:Enter valid values.
From/Thru Date Of Service Date of Service is required.Enter a valid date of service.
Future eligibility over a calendar month away cannot be requested.Enter a date of service that is less than a calendar month away.
Member ID Member not found.Enter a valid Georgia Medicaid member identification number.