EZ-NET™ Login

Home >> Main Menu >> Members >> Eligibility Search
Eligibility Search
Enter your search criteria below. Any Combination may be selected

                                                                        
                                                                            
                                                                                
                                                                                    
                                                                                        
                                                                                            
                                                                                                
                                                                                                    
                                                                                                        Company ID:
                                                                                                    
                                                                                                    
                                                                                                        
                                                                                                    
                                                                                                
                                                                                            
                                                                                        
                                                                                        
                                                                                            
                                                                                                
                                                                                                    
                                                                                                        Member ID:
                                                                                                    
                                                                                                    
                                                                                                        
                                                                                                    
                                                                                                
                                                                                            
                                                                                        
                                                                                        
                                                                                            
                                                                                                
                                                                                                    
                                                                                                        Last Name:
                                                                                                    
                                                                                                    
                                                                                                        
                                                                                                    
                                                                                                
                                                                                            
                                                                                        


                                                                                    
                                                                                

                                                                                
                                                                                    
                                                                                        
                                                                                            
                                                                                                
                                                                                                    
                                                                                                        Requested Date:
                                                                                                    
                                                                                                    
                                                                                                        
                                                                                                            
				
					 
				
			
                                                                                                        
                                                                                                    
                                                                                                
                                                                                            
                                                                                        
                                                                                        
                                                                                            
                                                                                                
                                                                                                    
                                                                                                        Birth Date:
                                                                                                    
                                                                                                    
                                                                                                        
                                                                                                            
				
					 
				
			
                                                                                                        
                                                                                                    
                                                                                                
                                                                                            
                                                                                        
                                                                                        
                                                                                            
                                                                                                
                                                                                                    
                                                                                                        First Name:
Page
of 0
Total Item(s): 0
Copyright© 2006-2024 Citra Health Solutions. All Rights Reserved. System availability, transaction execution,
And response times may vary due To volume, system performance And other factors.Technology provided by Citra Health Solutions.
EZ-NET v6.7.0