Why can’t I locate the deductible information when checking a patient’s eligibility?
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If the beneficiary is enrolled as a Qualified Medicare Beneficiary (QMB), deductible information may not be available at the time of the query.
HETS (HIPAA Eligibility Transaction System) indicates periods during which the beneficiary is enrolled as a QMB and will indicate the beneficiary owes $0 for Medicare Part A and B deductibles, coinsurance, or copayments. This information will be displayed under the QMB tab within SPOT.