270/271 - Insurance Verification

 

 

Using EDI for Eligibility & Benefits Verification - Prevalent Insurance Eligibility & Verification System (270/271)

HIPAA Standard 270/271 Eligibility Transactions

 

Prevalent provides both a fully integrated solution in our EHR/HIMS products as well as a web based solution that manages requests for eligibility status for commercial, Medicare or state health programs member transaction may be submitted by our participating clients. 

 

To request eligibility and obtain eligibility information for multiple members at one time, providers can use the 270/271 eligibility transaction through an electronic clearinghouse. A 270 request provides eligibility verification information directly to providers in "real time".  Providers submit a request for a single HIPAA standard 270 or multiple 270s and obtain the 271 responses in seconds.

271 responses are also compliant with the Council for Affordable Quality Healthcare (CAQH)/Committee on Operating Rules for Information Exchange (CORETM) requirements. If the person whose information is requested is not reflected as a Prevalent client,  the provider receives a message stating that the member is not in their system.

 

In accordance with the Health Insurance Portability and Accountability Act (HIPAA) privacy requirements for submission of electronic health care transactions, Prevalent is compliant in meeting and adopting the 270/271 eligibility transaction standards as outlined by HIPAA.

 

 

 

 

 

 

 

 

Prevalent, Inc. a subsidiary of Axcension, Inc.

For more information or to see a demo of our product please contact us today.

23537 Kingsland Blvd Suite 124, Katy, TX 77494    l    (832) 413-5990  contactus (@) prevalenthealth.com

 

 
 
   

 

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