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  • 270/271 Enrollment Form

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Emdeon Eligibility Provider Setup Form * Eligibility Provider Setup Form is only required for Payers that require specific enrollment* 1 PROVIDER INFORMATION Email: RTenrollment emdeon.com Fax: (615).

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Related content

About HETS 270/271 | CMS
Nov 18, 2020 — HETS 270/271 application supports real-time transactions only. The HETS...
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The 270 Transaction Set is used to transmit health care eligibility benefit inquiries from health care providers, insurers, clearinghouses and other health care adjudication processors. The 270 Transaction Set can be used to make an inquiry about the Medicare eligibility of an individual.

The 270 transaction is the EDI function that requests eligibility and benefit information from the Insurance Company of the patient. It is set to receive care from a Provider of Service. The 271 transaction is the EDI function that responds eligibility and benefit information of the patient.

The 270 and 271 Transactions are used in tandem: the 270 Transaction is used to inquire about the eligibility benefit status of a subscriber, and the 271 Transaction is returned in response to that inquiry.

271 is ISDH's outbound response transaction.

X12 EDI 270 The EDI 270 Eligibility, Coverage, or Benefit Inquiry is a request for information from a healthcare provider to a health insurance provider about a policy's coverages, typically related to a specific plan subscriber.

The 270 Transaction Set can be used to make an inquiry about the Medicare eligibility of an individual. The 271 Transaction Set is the appropriate response mechanism for health care eligibility benefit inquiries. There are several levels (i.e. Information Source, Information Receiver, Subscriber, etc.)

The EDI 278 transaction set is called Health Care Services Review Information. A healthcare provider, such as a hospital, will send a 278 transaction to request an authorization from a payer, such as an insurance company.

The 270 is an inbound transaction to ISDH. An outbound interchange control structure wraps transactions that are created by ISDH and returned to the requesting provider. 271 is ISDH's outbound response transaction.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232