Get the free 270 Companion Document

This companion guide assists in implementing the ASC X12N 270/271 Healthcare Eligibility and Benefit Inquiry and Response transaction set with HCSC by providing recommendations and additional information.

How to fill out 270 companion document

How to fill out 270 Companion Document

1. Obtain the 270 Companion Document template from the appropriate source.
2. Review any instructions provided with the template carefully.
3. Fill in your organization's details, including name, address, and contact information.
4. Provide the necessary patient information, including name, date of birth, and insurance details.
5. Include the specific request information, such as the type of eligibility or benefits inquiry.
6. Ensure that you enter all required codes accurately, following the appropriate coding guidelines.
7. Double-check all filled information for completeness and accuracy.
8. Submit the form as per the guidelines provided, ensuring it reaches the right processing entity.

Who needs 270 Companion Document?

1. Healthcare providers seeking eligibility verification for patients.
2. Insurance payers reviewing patient benefits and coverage.
3. Billing specialists needing to confirm patient information before claims submission.
4. Organizations handling patient registrations and inquiries about insurance coverage.

People Also Ask about

What is 270 and 271?

The 270 inquiry is used to inquire about the eligibility and benefit status of a patient, and the 271 transaction is the response to the inquiry.

What is EDI code 271?

The EDI 271 Health Care Eligibility/Benefit Response transaction set is used to provide information about healthcare policy coverages relative to a specific subscriber or the subscriber's dependent seeking medical services. It is sent in response to a 270 inquiry transaction.

What is the 270 eligibility request?

What is the Real-Time 270 Eligibility Request? The Real-Time 270 Eligibility Request Form is the process in which Sage can request Medi-Cal Eligibility directly from the California Department of Health Care Services (DHCS) in real-time.

What is a 277 transaction in EDI?

A 277 transaction may be sent in response to a previously received EDI 276 Claim Status Inquiry. A payer may use a 277 to request additional information about a submitted claim (without a 276) A payer may provide claim status information to a provider using the 277, without receiving a 276.

What is the EDI Code 270?

What is an EDI 270? The EDI 270 Health Care Eligibility/Benefit Inquiry is a type of EDI transaction set used by healthcare providers to request insurance coverage details for a specific patient. This electronic transaction replaces traditional phone inquiries, providing more detailed information about policy benefits.

What is the 270 eligibility transaction?

The 270 transaction is the EDI function that requests eligibility and benefit information from the Insurance Company of the patient. It is set to receive care from a Provider of Service. The 271 transaction is the EDI function that responds eligibility and benefit information of the patient.

What is a 270 file?

The 270 Transaction Set is used to transmit health care eligibility benefit inquiries from health care providers, insurers, clearinghouses and other health care adjudication processors. The 270 Transaction Set can be used to make an inquiry about the Medicare eligibility of an individual.

For pdfFiller’s FAQs

What is 270 Companion Document?

The 270 Companion Document serves as a guide for health care providers and payers to exchange eligibility and benefit information in conjunction with the 270/271 transaction set, specifying the required fields and response formats.

Who is required to file 270 Companion Document?

Health care providers and health plans who wish to verify patient eligibility and benefits through electronic transactions are required to file the 270 Companion Document.

How to fill out 270 Companion Document?

To fill out the 270 Companion Document, users must provide specific patient and insurance information such as member ID, date of birth, and service type in accordance with the format specified in the document.

What is the purpose of 270 Companion Document?

The purpose of the 270 Companion Document is to facilitate standardized communication between health care providers and payers, ensuring accurate and efficient eligibility and benefit verification.

What information must be reported on 270 Companion Document?

The 270 Companion Document must report information such as the patient's identifying information, payer identification, request details, and specific services being inquired about for eligibility.