Good Afternoon,

I would like to ask a few questions regarding the 270/271:

1. In the 270/271 arena, what is the definition of "free-standing" (code 89)
(EQ01) (page 93 for 270 and 301 for the 271). 

2. How could plans handle providing 3-tier pharmacy benefit information ?

3. If the 271 minimum response is a simple "yes/no" the person is (or is
not) eligible, and a plan decides to provide more information (i.e., a true
271), is this an all or nothing proposition ?  i.e., if the plan decides to
provide a true 271, must all the "required" and "situational" info be
provided or is there some choice if a plans systems cannot support inquiries
by certain criteria (like diagnosis for example).

Thanks
Rajiv


Thank you,

Rajiv Sood, MBA
HIPAA Implementation Manager
Oxford Health Plans
48 Monroe Turnpike, Trumbull CT 06611
External Phone: 1-203-459-6913
Internal Phone: 8-204-6913
Fax: 1-203-459-6464
Email: [EMAIL PROTECTED]
Toll Free: 1-800-889-7658 Ext. 6913



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