- Introduction
- Registration
- Log In
- Navigation
- Eligibility Lookup
- Initiate Eligibility Lookup
- Beneficiary Eligibility Information Panel
- Part B Deductible
- Medicare Advantage
- Medicare Secondary Payer
- Crossover
- Qualified Medicare Beneficiary
- Home Health Plan
- Hospice Information
- Initiate Patient Status Lookup
- Inpatient and SNF Spell History
- End Stage Renal Disease
- Pneumococcal Vaccine
- Preventive Services
- Audiology Screening
- Pulmonary Rehabilitation
- Smoking Cessation Counseling
- Cardiac Rehabilitation
- Accessing Eligibility for MDPP in NGSConnex
- Therapy
- Acupuncture Benefits
- COVID-19 Vaccine
- Diabetes Self Management Training (DSMT)
- Medical Nutrition Therapy (MNT)
- Claims Status Inquiry
- Part B Claim Submissions
- Appeals
- ADR
- Inquiries
- Resources
- MBI Lookup
- Remittance
- Part A Prior Authorization Request
- Part B Prior Authorization Request
- Financials
- Manage Account
Initiate Eligibility Lookup
- Click the Eligibility Lookup button from the NGSConnex homepage.
- In the Select a Provider panel, click the Select button next to the applicable provider account.
- In the Select a Beneficiary panel, enter the CMS required beneficiary demographic information in the applicable fields.
- Medicare Number – enter the number Medicare Beneficiary Identifier as it appears on the Medicare card. If you do not have the MBI number, you can select the MBI Lookup link to search for the MBI.
- Last Name – enter, at a minimum, the first six letters of the last name exactly as it appears on the Medicare card.
- First Name – enter, at a minimum, the first letter of the first name exactly as it appears on the Medicare card.
- Date of Birth – enter in the appropriate format MM/DD/YYYY.
- Click the Submit button.
- Select the Years of Data that you would like to view, by selecting 1-4. The historical eligibility information displayed will be limited based on the filter's selection. If you think the information displayed is incomplete, verify you have made the correct 'Years of Data' selection.
- If you would like DSMT and MNT information included in your search results, click the drop-down arrow and select ‘Yes’. If DSMT/MNT information is requested, please allow a few seconds for your Eligibility results to display.
- Select the Search button.
Revised 1/23/2024