This is one of the most popular services offered by CGC, loading electronic eligibility files from the HMO into the EZCAP system. Eligibility EDI Processor (software developed by CGC) converts and processes electronic eligibility and produces a file that can be loaded appropriately into the EZCAP system.
Eligiblity Eddie offers a unique approach to processing eligibility by comparing the HMO file with current eligibility records in the EZ-CAP system. As a result, the status of each HMO member record is appropriately identified as an Add, Re-Enroll, Change or Termination record. Each file loaded through EZ-LINK runs through smoothly and without conflicts or rejects.