Title: Message
I think that it is useful to ask yourself this question:
 
Are you trying to meet minimal requirements, or are you trying to "do it right the first time" and also reduce the volume of phone calls inquiring about benefits?
 
If you support only the general inquiry of type 30-Health Benefit Plan Coverage, then the volume of phone calls is only going to drop marginally--but at least you'll be compliant.
 
If, however, you truly want the 270/271 functionality to be useful, even if not all providers will send detailed inquiries, you will probably be better off spending some extra time now and support detailed responses, because "enhancements" usually doesn't get as high of a priority as "requirements".
 
Additionally-- if the responses are always the general inquiry response, there will be no motivation for providers to enhance their systems to send specific inquiries.
 
Hope that helps...
 
 
-----Original Message-----
From: Adams, Billie Jo [mailto:[EMAIL PROTECTED]
Sent: Wednesday, June 04, 2003 2:15 PM
To: WEDI SNIP Transactions Workgroup List
Subject: 270 transaction

To the providers:

 

How detailed of a request do you feel will be sent out the 270 transaction?  Are most requires, that you are setting up for, going to be mostly general eligibility requests or more detailed benefit requests?

We are at a stale mate on how specific of a response we will need to generate.  If we only need to do the minimum because we don’t think it will be used to much, that is what we want to do.  But in any case we want to be prepared.

 

Any responses are appreciated.

Thank you

Billie Jo Adams

Project Analyst

World Insurance Company

 

 

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The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time.

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