We are pleased to announce an enhancement that allows practices to include specialty-specific eligibility modifiers in their 270 eligibility requests, enabling more detailed insurance benefit information to be retrieved directly within the EHR.

What’s new

  • Practices can now select one or more eligibility modifiers (such as Mental Health, Audiology, OB/GYN, Dermatology and others) that apply to their eligibility checks.
  • Selected modifiers are used automatically for the practice’s future eligibility requests.
  • If no modifiers are selected, the system continues to send general eligibility only—no behavior change.

Why it Matters

  1. Enables retrieval of more precise, specialty-level insurance benefits.
  2. Reduces the need for manual payer verification and follow-up.
  3. Improves front-desk efficiency, scheduling accuracy, and financial transparency.
  4. Supports multi-specialty practices with varying coverage needs.

How to Configure in EHR

  1. Log in to your practice account.
  2. Navigate to Practice Administration → Billing Setup → Practice Revenue Codes.
  3. Go to the Add Practice 270 Eligibility Modifiers section.
  4. Select one or more modifiers to enable, then click Add.
  5. Selected modifiers will appear in the Existing Practice 270 Eligibility Modifiers list at the bottom of the page.
  6. To remove a modifier, select it from the list and click Delete.
     

NOTES

  • No changes in the workflow.
  • Settings apply at the practice level and can be updated at any time.