San Francisco Health Plan EDI Eligibility and Benefits Request and Response (270/271) General Guides
San Francisco Health Plan EDI 270/271 transactions are given in this post as a general overview on these EDI transactions. San Francisco Health Plan EDI 270/271 transactions are used in tandem: the 270 transaction is used to inquire about the eligibility benefit status of a subscriber, and the 271 transaction is returned in response to that inquiry. SFHP returns detailed eligibility, co-payment, deductible, co-insurance, and type of insurance information on the 271 response. SFHP provides the ability for a practitioner or facility to submit a file for eligibility information and benefits for the members (HIPAA Eligibility Benefits Inquiry and Response 270-271) through their designated clearinghouse or directly to their office as instructed. To establish a connection for theSan Francisco Health Plan EDI 270/271 you should contact your clearinghouse in regard to setting up the ability to submit and receive the electronic eligibility and benefits inquiries with SFHP.
San Francisco Health Plan EDI 270/271 transactions are used as a part of committance to providing San Francisco Health Plan participating providers with the best tools possible to support their administrative needs. San Francisco Health Plan is now providing electronic transactions that are compliant with the Council for Affordable Quality Health Care (CAQH) Committee on Operating Rules for Information Exchange (CORE) Operating Rules. San Francisco Health Plan EDI 270/271 transactions are used to save time and money.
San Francisco Health Plan EDI 270/271 transactions guides are adopted under HIPAA. San Francisco Health Plan is a Phase III CORE Certified Health Plan and is accepting X12N 270/271 Health Care Eligibility Request and Response, as mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Health Insurance Portability and Accountability Act–Administration Simplification (HIPAAAS) requires San Francisco Health Plan and all other covered entities to comply with the electronic data interchange standards for health care as established by the Secretary of Health and Human Services.