EDI 271 Mapping Specifications for the Eligibility, Coverage Or Benefit Information Format


AgencySet IDFGTransaction DescriptionSubcommitteeStandard
ANSI271HBEligibility, Coverage Or Benefit Information InsuranceDownload


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Research and Development:
See the list of EDI 271 mapping specifications in the below data grid. The Jobisez.com site has an online translation tool that converts the EDI 271 (Eligibility, Coverage Or Benefit Information) document into a CSV file. For more detailed information, you can view a sample EDI 271 document by analyzing a transaction set example. You can also gain knowledge by researching all EDI document types. Jobisez LLC can also provide assistance if you need additional help.

Solutions:
Are you looking to trade the EDI 271 transaction with one of your trading partners? Do you need an EDI VAN Savings solution to exchange the 271? Or perhaps you would like to use a Cloud-Based application, so you can plug your 271 transaction directly into your ERP and TMS systems. Even small companies have the ability to trade the EDI 271 by using the EDI Mobile Device solution.


All EDI 271 Mapping Specs and Guidelines


Official Definition:
Data contents of the Eligibility, Coverage or Benefit Information Transaction Set (271) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used to communicate information about or changes to eligibility, coverage or benefits from information sources (such as - insurers, sponsors, payors) to information receivers (such as - physicians, hospitals, repair facilities, third party administrators, governmental agencies). This information includes but is not limited to: benefit status, explanation of benefits, coverages, dependent coverage level, effective dates, amounts for co-insurance, co-pays, deductibles, exclusions and limitations.



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