Search Options to Optimize Queries

A search option is a set of related fields that will yield a successful Eligibility response from a payer if there is a member match.

Trading partners typically require specific fields in combination to ensure retrieval of requested records. You can tailor your Eligibility requests to use different sets of fields depending on the application.

In some cases, search options allow you to get a successful response even without a piece of information like the memberId. A common, name-based search option can include the firstName, lastName, and dateOfBirth of the member in question.

If you always have the member ID, we suggest sending a request containing the memberId, firstName, lastName, and dateOfBirth fields.