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Centers for Medicare & Medicaid Services (CMS) 7500 Security Blvd Baltimore, MD 212441850HIPAA Eligibility Transaction System (GETS) Health Care Eligibility Benefit Inquiry and Response (270/271)
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It provides guidance and instructions on how to properly fill out the HETS 270271 transaction set, which is used for eligibility, coverage, or benefit inquiries and responses in the healthcare industry.
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Therefore, anyone involved in the creation, transmission, or processing of such transactions may need to refer to the HETS 270271 Companion Guide.
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The HETS 270271 Companion Guide is a document that provides specific instructions for health care providers and organizations to accurately submit 270 and 271 transaction requests and responses, which are used for eligibility and benefit inquiries in the healthcare system.
Healthcare providers, payers, and organizations that need to process eligibility and benefit inquiries must file the HETS 270271 Companion Guide to ensure compliance with required standards.
To fill out the HETS 270271 Companion Guide, users must follow the detailed instructions provided in the guide, which include formatted fields, data requirements, and example submissions for accurate transaction processing.
The purpose of the HETS 270271 Companion Guide is to assist healthcare entities in understanding and implementing the standardized electronic transactions for verifying patient eligibility and benefits, streamlining administrative processes.
The information reported on the HETS 270271 Companion Guide includes patient identification details, provider identification, request type, and any specific benefit information relevant to the eligibility inquiry.
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