270/271 HIPAA Transaction Validation (Pre-Query and Post-Query) (Washington State Health Care Authority) 270/271 HIPAA Transaction validation (Washington State Medicaid’s 270/271 transaction) will perform a pre-query validation to make sure the required Subscribe data elements are preset prior to routing the information to Eligibility and Benefit system. For Subscriber request below data elements can be submitted: Read More →

Acknowledgement Procedures 270/271 Transaction Notes (Washington State Health Care Authority) Acknowledgement Procedures 270/271 transaction subject general HIPAA standard requirements as well as Health Care Authority 270/271 transaction guidelines. HIPAA EDI allows covered entities to submit and retrieve the HIPAA mandated transactions from Washington State Medicaid. Covered entities (clearinghouses, providers, health plans) are required to successfully complete EDI testing for Read More →

270, 271 EDI relationship: senders and receivers, subscribers and dependents 270, 271 EDI transactions basic information was described in our previous blog post. Today we speak about the relationship between the participants of the 270, 271 EDI transactions process. During 270, 271 EDI exchange provider of service can request more detailed eligibility information other than a patient’s standard eligibility. Read More →

270, 271 Healthcare Eligibility, Coverage and Benefit Inquiry (270) and Response (271) EDI Transaction Definition 270, 271 Healthcare transactions, their relationship, functions and purposes will be described further in the post. 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 Read More →