An unsolicited 271, which is what you have described below, is not a
designated standard transaction, per the Regs.

Margaret Murphey
(206)268-2348





-----Original Message-----
From: Paul Costello [mailto:[EMAIL PROTECTED]]
Sent: Thursday, February 06, 2003 2:31 PM
To: WEDI SNIP Transactions Workgroup List
Cc: WEDI SNIP Transactions Workgroup List
Subject: Re: RE: RE: 835


All I am saying is that similar to the 837 / 835 relationship, the 
method in which a claim status inquiry or eligibility benefit inquiry 
is conducted does not necessarily dictate the method used to respond.

I would argue that if a provider called a health plan or sent it a 
paper list of 10 patients wanting eligibility benefit information, the 
provider could request that the health plan respond with a 271, and the 
health plan would have to abide by the request and create a HIPAA-
compliant 271 transaction based on the paper / phone call inquiry.

Paul

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