I have been struggling with similar issues.  Is it appropriate for
Trading Partners to define an Implementation Guide between themselves,
such that a sender of a 270 would expect certain data to be returned in
a 271 when the 270 makes a specific request such as FAM - Family?  A
typical transmission could look like this:

Request
ST*270*1~
BHT*0022*13~
HL*1**20*1~
NM1*PR*2*THEPAYER*****PI*XXXXX~
HL*2*1*21*1~
NM1*1P*2*THEPROVIDER*****FI*123456789~
HL*3*2*22*0~
NM1*IL*1*INSURED*KIM****MI*111111111~
DMG*D8*19471225*M~
EQ*98**FAM~
SE*11*1~

Response
ST*271*1~
BHT*0022*13~
HL*1**20*1~
NM1*PR*2*THEPAYER*****PI*XXXXX~
HL*2*1*21*1~
NM1*1P*2*THEPROVIDER*****FI*123456789~
HL*3*2*22*1~
NM1*IL*1*INSURED*KIM****MI*111111111~
N3*101 WASHINGTON STREET~
N4*INDIANAPOLIS*IN*46230~
DMG*D8*19471225*M~
INS*Y*18~
DTP*539*D8*20011001~
EB*1~
EB*A*FAM******20****Y~
EB*A*FAM******30****N~
EB*B*FAM*98***27*15*****Y~
EB*B*FAM*98***27*30*****N~
EB*C*FAM****23*3000*****Y~
EB*C*FAM****23*6000*****N~
EB*C*FAM****24*1250*****Y~
EB*C*FAM****24*40*****N~
EB*C*IND****24*125*****Y~
EB*C*IND****24*0*****N~
HL*4*5*19*0~
NM1*03*1*INSURED*WILL~
DMG*D8*19970727*M~
INS*N*19~
DTP*539*D8*20011001~
EB*C*IND****24*1125*****Y~
EB*C*IND****24*40*****N~
SE*32*1~

Is this acceptable?

Robert L. Huffman
RealMed Corporation


-----Original Message-----
From: Siegfried, Victoria [mailto:[EMAIL PROTECTED]]
Sent: Wednesday, October 17, 2001 8:27 AM
To: '[EMAIL PROTECTED]'; '[EMAIL PROTECTED]'
Subject: 270/271 Question on EB segments


Our health plans would like to send back a 271 with more than the
minimally
necessary "Yes, the patient is an eligible member today." 

If a 270 Health Care Eligibility Benefit Inquiry is requesting copay and
deductible amounts for a single service type or procedure code, is it
acceptable for the payor to return multiple EB segments with in-plan
copay,
out-of-plan copay, in-plan deductible, out-of-plan deductible, etc.?  

I would like to hear if other managed care plans are determining whether
in-plan or out-of-plan apply upon receiving a 270 request or if all
possible
benefits are sent in a 271.   Also how do providers feel about receiving
8
to 48 EB segments for a member inquiry. Thank you for your help.

Vicki Siegfried
Business Consultant
Coventry Health Care 
HIPAA / EDI Team
(724) 778-5931



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