Available Resources

Back to downloads

Health Care Eligibility Benefit Inquiry and Response 005010 X279

The Health Care Eligibility Benefit Inquiry and Response implementation guide describe the use of the Eligibility, Coverage or Benefit Inquiry (270) transaction set and the Eligibility, Coverage, or Benefit Information (271) set for determining if an information source organization, such as an insurance company, has a particular subscriber or dependent on file and for determining the details of health care eligibility and/or benefit information.

Intended trading partners include: health care providers, such as hospitals and physicians; health care payers, such as insurance companies, HMOs, and PPOs; state and federal programs, such as Medicare, Medicaid, and TRICARE (CHAMPUS).


  • Type:

    TR3

  • Industries:

    Health Care & Insurance

  • Intended Trading Partners:

    Intended trading partners include: health care providers, such as hospitals and physicians; health care payers, such as insurance companies, HMOs, and PPOs; state and federal programs, such as Medicare, Medicaid, and TRICARE (CHAMPUS).

  • Set ID:

    270/271

  • Version:

    005010

  • Maintained By:

    X12N

  • Publication Date:

    02/01/2011

  • Publication ID:

    X279

  • Resources:

    Access to these resources requires a commercial, internal use, developer, or premium Glass license. View available licenses to purchase today. Already have a license? Login now.

Back to downloads