Inquiry
Use the "Inquiry" sub-tab to enter beneficiary information to submit an eligibility request. To ensure accurate information is provided to you, all fields entered, including optional fields, must be an exact match to the data maintained in CMS' HETS.
The following combination of fields are required:
- Subscriber's Medicare ID, Last Name, and First Name, or
- Subscriber's Medicare ID, Last Name, and Date of Birth
To ensure accurate historical data is returned, be sure to enter a date range in the Optional Fields area. You may enter dates up to four (4) years prior to, and four (4) months in the future of, the current date. Date ranges may not exceed 12 months at a time.
Click "Submit Inquiry" to obtain eligibility information. Once retrieved, all the other sub-tabs will populate with data related to that beneficiary and, if applicable, the date range entered.
For your convenience, you have the option of printing each individual sub-tab or the entire eligibility record.