X12N Health Care Eligibility Benefit Inquiry and Response 270/271 Implementation for RHHI
The Centers for Medicare and Medicaid Services (CMS) is making changes to its Information Technology infrastructure to address standards for Medicare beneficiary eligibility inquiries. This approach will create the necessary database and infrastructure to provide a centralized HIPAA compliant 270/271 health care eligibility inquiry and response in real-time.
To see the revised
Medicare Claims Processing Manual section related to these changes, go to
http://www.cms.hhs.gov/manuals/pm_trans/R565CP.pdf (CR 3883, Transmittal 565).