Introduction to Health Care Eligibility (270/271) 1/2 day seminar

This 1/2 day seminar provides the background and history of how the health care industry has supported the process of verifying eligibility and coverage. Who exchanges these transactions and their business flow in both a batch and an interactive environment.  Terminology used within the regularory requriements including HIPAA and ACA and the adopted implementation guides is also discussed along with the X12 transaction structure.

This seminar steps the attendees through the process of building a 270 Eligibility, Coverage or Benefit Inquiry transaction and its corresponding 271 Eligibility, Coverage or Beneift Information transaction.

Topics included:

• Usage examples
• Flexibility of data content
• General Requests vs. Specific Requests
• Minimum requirements for HIPAA and ACA compliance
• Search criteria to find covered individual(s)
• What happens with multiple matches
• Linkage between the 270 and 271 transactions