This is an automated reply. I will be out of the office on 10/15 and 10/16, and I will not be responding to e-mail.
If you need immediate assistance, please contact Steven McGregor at (206) 901-7437, 8-600-7437. rm >>> "[EMAIL PROTECTED]" 10/17/01 06:27 >>> 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 ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
