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>>> "[EMAIL PROTECTED]" 10/16/01 12:18 >>>

If a 270 Health Care Eligibility Benefit Inquiry request indicates that the
requestor is inquiring about a subscriber with a coverage level code of FAM
(Family) and the carrier determines that the subscriber has IND (Individual)
coverage, how should the 271 response be created? Should an EB segment be
sent back saying that they are not active for this coverage level? There
does not appear to be a code within the AAA rejection to indicate the
coverage level code submitted in the request is inconsistent with the active
benefit.


Thanks for your help.

Dana Grant
Business Analyst/HIPAA-EDI
Coventry Health Care
E-mail:   [EMAIL PROTECTED]
Phone:   724-778-3782
Fax:       724-778-4284
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