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Common Reasons for Unsuccessful Patient Searches

Understanding why a patient search fails helps your team troubleshoot quickly and avoid repeated errors. Below are the most common reasons a search may return no results or incomplete results.

๐Ÿ”  Name Misspellings or Discrepancies

  • You may have misspelled the patientโ€™s first or last name.
  • Your EHR may have Jonathan, but the vision plan has John.
  • Nicknames and legal names may not match across systems.
Tip: Try alternate spellings or shortened versions of names. Guess as many times as needed to find a result.

๐ŸŽ‚ Incorrect Date of Birth

  • The date of birth may have been entered incorrectly.
Tip: Verify with a second data source such as a picture of an ID stored in your EHR.

๐Ÿ†” Invalid or Mistyped Member ID

  • The Member ID might:
    • Be copied incorrectly
    • Contain a typo
Reminder: Patients often provide expired or incorrect ID cards.

๐Ÿ” Login Credentials Have Changed

  • Your practiceโ€™s login to the vision payer's portal may:
    • Have a new username
    • Require a password update
    • Be locked out due to multiple failed login attempts
Action: Log into the payerโ€™s portal directly to verify your credentials. If there has been a change, go to the Configuration tab in SpexFetch and update the information.
Make sure you are entering the credentials in the correct locationโ€”especially if you manage multiple accounts. The data is autosaved.
๐Ÿ”’ Note: Only administrators can edit vision plan usernames and passwords in the app. If you do not have admin access, please contact the appropriate person to make the update.

๐Ÿ“‰ Missing Required Search Criteria

  • Some payers require specific fields like:
    • Date of Birth
    • Member ID
    • Full First and Last Name
Tip: If you omit any required info, the search may fail.

๐Ÿ“… Invalid Service Date Range

  • You're attempting to search for a service date that is:
    • Too far in the future
    • Or too far in the past
Tip: Keep service dates within the recommended eligibility verification window.