⨠When You Need This Guide
Use this guide if you're asking:
Why do I see âAction Requiredâ next to a patientâs eligibility check?
What happens if the name or address doesnât match?
How do I manually link a patient record in Aloha?
When patient info doesnât match between your EHR and their insurance file, Aloha canât verify eligibility until you link the correct records.
â ď¸ Why "Action Required" Appears
Sometimes, a patientâs name or address on their insurance doesnât match the info in your EHR/PMS. Common causes:
Insurance is listed under a parent or guardian
Patient moved or updated their name
Insurance company has outdated or alternate info
Nicknames vs. legal names in the chart
In these cases, Aloha flags the eligibility result with Action Required because it canât automatically match the patient to your records.
đ ď¸ How to Link the Correct Patient Manually
Go to the Eligibility Search feed in Aloha
Click the red Action Required button next to the patientâs name
In the popup that says âPatient cannot be matchedâ, click Verify Patient
A list of possible matches from your EHR will appear
đ Youâll see both:
EHR Address (from your system)
Insurance Address (on file with the payer)
This lets you double-check before confirming the match.
â Youâll Know It Worked When:
The âAction Requiredâ label disappears
The patientâs eligibility result updates to show verified benefits
You see a green checkmark next to their name in the Eligibility Search feed
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