|The Interactive Health Care Eligibility/Benefit Inquiry and Response Implementation Guide describes the use of the EDIFACT IHCEBI message and the EDIFACT IHCEBR message for the following business usages:
The IHCEBI identifies the patient in question, the insurance subscriber, and the provider or orgainization requesting the information. The IHCEBR provides the plan coverage information, patient/subscriber identifiers, coverage benefits, and third party liability information.
Primary Trading Partners
|Health care providers, such as hospitals, nursing homes, physicians, laboratories, dentists, and allied professional groups. Health care payers, such as federal and state agencies and their contractors, commercial insurers, and service organizations, third party administrators, plan providers, and other entities that process health care reimbursements.|
|This is the first implementation guide for this business purpose.|
|ASC X12 Subcommittee's Property & Casualty Task Group's Claim Work Group (TG1/WG2) and Workers' Compensation/Disability Work Group (TG1/WG3).|
|Transaction Set ID||IHCEBI||Standard Version||003070|
|ASC X12 DM#||Owning Group||X12N/TG2/WG1|