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 Coventry Health Care has a new look on the internet! Visit http://www.coventryhealth.com ********************************************************************** 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.
