Eligibility Verification Information

Pennsylvania Medical Assistance (MA) PROMISe™ Eligibility Verification System (EVS)

MethodDescription
Web Interactive
Providers can submit individual web interactive EVS requests via the PROMISe™ Internet. Instructions on how to register and use the PROMISe™ Internet can be found in the PROMISe™ Internet User Manual.
EVS Software
Provider Electronic Solutions Software is available free-of-charge by downloading from the OMAP PROMISe™ Web site To order the software on CD-ROM, call 717-975-4100.
Batch EVS
Batch EVS requests need to be submitted utilizing the ANSI X12 v5010 270/271 transaction sets. Batch EVS capabilities have been built into the Provider Electronic Solutions Software which provides for a simple data entry, submission, and receipt process. Providers also have the option of building their own solution or purchasing commercial software; however, the application needs to pass the certification process prior to gaining access to the system. For more information on certification please visit the PROMISe™ Certification website.
TelephoneProviders have the option to submit individual EVS requests by telephone. The number to call is 800-766-5387.