Eligibility Benefit Request and Response (270/271)
Beginning January 23, 2014, the HIPAA ASC X12 005010X279A1 Eligibility Benefit Request and Response (270 request/271 response) transactions are available. The 270/271 transaction allows providers to determine whether a particular subscriber or dependent is on file with the health plan, and the health care eligibility and/or benefit information about that subscriber and/or dependent. It is used to verify an individual’s eligibility and benefits, but cannot provide a history of benefit use.
This transaction is available through Emdeon who is a Phase I and Phase II CORE-certified clearinghouse. Emdeon will be hosting these transactions on behalf of our health/dental administrator.
For questions, please contact the health/dental administrator, HP Administrative Services, LLC, at 1-405-416-1800 or toll-free 1-800-782-5218. TDD users call 1-405-416-1525 or toll- free 1-800-941-2160.