EDI 270/271 Healthcare Eligibility and Benefit Response
Healthcare eligibility and benefits inquiries/ responses require detailed information that is required to be HIPAA-compliant. To meet these requirements takes accuracy and timeliness that can only be found in using EDI systems.
The EDI 270 is sent by healthcare service providers to insurance agencies or government entities, including Medicare and Medicaid. The EDI 270 typically includes items, such as:
- Details of the sender
- Name of the recipient
- Information on the plan subscriber
- Description of eligibility or benefit information requested
The EDI 270 is used alongside the EDI 271. An EDI 271 document includes all of the requested information from EDI 270. This is one of the most used combinations of EDI documents in healthcare, making it vital that the information is documented and transitioned seamlessly.
At Effective Data, we offer various EDI healthcare solutions that ensure HIPAA compliance is met, a secure environment is used, and documents are transferred quickly and without issue.
Data for the EDI 270/271 can either be manually entered into an EDI standard document or pulled from data integration through your in-house EDI system.
Once the data is entered into the EDI translator, the conversion process will begin into an EDI document. This conversion process follows specific guidelines that meet HIPAA-based EDI requirements.
The EDI 270/271 is a critical document for healthcare providers to understand patients' healthcare coverage and benefits. At Effective Data, our EDI solutions provide complete security and knowledge of the EDI transmission process.
EDI 270/271 transactions are most commonly sent directly to the receiver, where the receiver of the EDI 270/271 decodes the EDI into a document that the recipient can use. The second way of sending the EDI 270/271 is to send it via a secure dial-up connection to a Value-Added Network (VAN) and then is routed to the recipient.
Healthcare EDI Solutions
At Effective Data, we support all primary EDI communication methods while maintaining knowledge of changing industry standards and trends. In addition, we understand that the management of patient documents is of critical importance and requires absolute security.
We specialize in helping healthcare industry businesses securely automate and improve processes while maintaining compliance with all healthcare requirements. Our services include:
- Cloud EDI
- Off-premise EDI
- On-premise EDI
- Hosted EDI
- EDI Assessment
- HIPAA Level-7 Integration
- Strategy Consulting
- Process Automation
- VAN Services
- And More
We offer full-service, one-on-one support for all of your needs.
Contact us below for more information to improve patient care by maximizing security and productivity with HIPAA-compliant EDI services.
Our Company
Resources