X12 270/271: Eligibility and Benefits Inquiry
The request a provider sends to check coverage and the payer's response, segment by segment, in real-time and batch modes.
X12 270/271: Eligibility and Benefits Inquiry
Coming soon. This post is a placeholder in the US Healthcare learning path. The outline below is what it will cover.
What this post will cover
- 270 request loops: information source, receiver, subscriber, dependent
- 271 response and the EB (eligibility or benefit) segment
- Service type codes
- AAA rejection segments
- Real-time exchange and the CAQH CORE operating rules
Further watching
From the HealthTech Decoded channel:
Where this fits
Level 3 · Health data exchange › Healthcare EDI (ANSI X12)
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