Most payers I have talked to are only responding whether the patient is
eligible and that is about it.

Regards,

David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
612-237-1966

-----Original Message-----
From: Laurance Stuntz [mailto:[EMAIL PROTECTED] 
Sent: Wednesday, June 04, 2003 4:52 PM
To: WEDI SNIP Transactions Workgroup List
Subject: Re: 270 transaction


In my experience most providers are set up to just send a general
request
because most payers cannot respond to a specific request.  However, even
if
a provider sends in a general request of EQ01 = 30, the payer should
send
back as much information as possible given the limitations of their core
system - including deductible, copay, coinsurance, visit limits,
detailed
demographics, etc.  That way, the requester can make their same generic
request of everyone without needing to worry what key will unlock the
riches of a content-rich response from a specific payer and conversely,
payers that can give back lots of information don't have to be limited
by
the providers expectations.

Regards,
Laurance

Laurance Stuntz
Principal
Global Health Solutions
Computer Sciences Corporation
office phone: 781.290.1479
fax: 781.890.1208
email: [EMAIL PROTECTED]


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                      "Adams, Billie

                      Jo" <BAdams              To:       "WEDI SNIP
Transactions Workgroup List" <[EMAIL PROTECTED]>    
                      @worldinsco.com>         cc:

                                               Subject:  270 transaction

                      06/04/2003 03:15

                      PM

                      Please respond to

                      "Adams, Billie

                      Jo"

 

 





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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