Real-time 270/271 payer eligibility: copay, deductible, OOP, coinsurance, plan + PA. TX-Medicaid FFS-vs-MCO lane (Rider 32). Deterministic mock 271 offline; live clearinghouse fail-closed. billing-service behind eligibility:check.
Standard of work · ISO/IEC 25010 — Meets 9/9
- 1. Self-identifyingUsability — appropriateness recognizabilityThe page names itself: breadcrumb, title, section, status badge, and a page id.
- 2. Navigable forward & backUsability — operabilityBack/Next step through the product; breadcrumb + active sidebar; browser back works.
- 3. Demo-prefilled — no empty statesUsability — learnabilityEvery form is pre-filled with realistic demo data so the screen is never blank.
- 4. Accessible — AAA, large fonts, big targetsUsability — accessibilityLight mode, 7:1+ contrast, ≥44px controls — built for a 76-year-old physician.
- 5. Clear result feedbackFunctional suitability — appropriateness; Reliability — fault toleranceEvery action maps a Result to a visible success/error message; codes → HTTP status.
- 6. Secure by default + sign-outSecurity — confidentiality & authenticityDefault-deny permissions, practice-scoped data, a sign-out control, no PHI in logs.
- 7. ResponsivePortability / Compatibility — adaptabilityWorks on desktop, tablet, and phone; the sidebar collapses on narrow screens.
- 8. ResilientReliability — availability & recoverability; Performance efficiencyLoading and upstream-down states are handled — never a blank or frozen screen.
- 9. ConsistentMaintainability — modularity & reusabilityOne shell, one set of design tokens, shared components across every page.
Eligibility (270/271)
Check coverage
A real-time payer inquiry. Offline this returns a deterministic demo 271; a live clearinghouse is fail-closed until credentials are provisioned.
Try a Medicaid member id ending even (→ MCO) vs odd (→ FFS), or a commercial payer (copay + deductible).
Results (0)
No eligibility checks yet for this patient. Run one on the left.