Health Care Benefit Coordination Verification Request and Response (005010X202)
Purpose
The Health Care Benefit Coordination Verification Request and Response Implementation Guide describes the use of the ANSI ASC X12 Health Benefit Coordination Verification Request and Response (269) transaction set for the following business usage:
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Primary Trading Partners
Health Care payers coordinating benefits for a claim when no paper remittance is available |
Exceptions/Limitations
This is not a way to ask what benefits were paid (benefits are reported in the request for verification and confirmed or denied in the response). This is not used to request eligibility or to file a secondary claim. |
References
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Additional Information
Registered | 10/2/2003 | ||
Transaction Set ID | 269 | Standard Version | 005010 |
ASC X12 DM# | 008104 | Owning Group | X12N/TG2/WG3 |