270/271 question

[Martin Scholl]

One of the most important tasks of insurance validation is to find out how much I get paid as a provider. I am not sure how I can do this with the 270/271 transaction set. For example: A provider indicates in the EQ segment a Composite Medical Procedure Modifier (HC:46735). He/She wants to charge $20,000 for this operation. Where in the 270 would I indicate the proposed amount?   Where in the 271 would I indicate how much a payer actually pays for this? EB07?   Martin Scholl Scholl Consulting Group, Inc. 301-924-5537 Tel 301-570-0139 Fax [EMAIL PROTECTED] www.SchollConsulting.com