Paul,
Yes, the only time a health plan is required, under HIPAA, to send a 271 or
a 277 is in response to a 270 or 276 transaction from the provider,
respectively. 

Margaret Murphey
(206)268-2348





-----Original Message-----
From: Paul Costello [mailto:[EMAIL PROTECTED]]
Sent: Thursday, February 06, 2003 3:51 PM
To: WEDI SNIP Transactions Workgroup List
Cc: WEDI SNIP Transactions Workgroup List
Subject: Re: RE: 835


I do not want to beat a dead horse here, but I would argue that the 
situation I described in not an unsolicited 271, but rather a solicited 
271 in which the method of response is different than the method of 
inquiry.

So are you saying that the only time a 271 or 277 would be sent is if 
each was preceeded by a 270 and 276, respectively?

I would agree that 99% of the time the method used in the inquiry would 
be the same (and preferred) method used in the response.

So I guess the real question is this:

Does a health plan have to have the capability to respond to a non 270 
or 276 inquiry (e.g., paper, phone, fax) with a HIPAA-compliant 271 or 
277?

Paul



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