Having nothing better to do on a Saturday night, I turn to my
handy-dandy EDISIM Standards Reference to find:
"This Draft Standard for Trial Use contains the format and establishes
the 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."
> Sanjeev Gupta wrote:
>
> Hello,
>
> Can somebody please direct me to resources related to Transaction Set
> No. 271 and its utility in Telecommunication Industry?
>
> Regards,
> Sanjeev Gupta
--
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Brian Lehrhoff ([EMAIL PROTECTED])
EDI Consultant
Bank of New York
201-913-4506
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