RFI Browser

Back  RFI # 1083: response for service code 30

Formal vs. Informal Help Informal Formal

Submitter

Suman de

Description

If a payer recieves a generic enquiry with service type code"30" in EQ-270 then what should be the ideal response to the request in 271?

Submitter Assigned Keywords

270

Response

This issue is explicitly addressed in guide 005010X279. Section 1.4.7.1 (Minimum Requirements For Implementation Guide Compliance) under the 271 heading identifies specific requirements by number. Specific to Service Type code "30", item # 8 spells out the detailed requirements for the response 271 when the 270 request identified EQ01 with a Service Type Code "30".

Recommendation

Section 1.4.7.1 items 1-7 and 9-12 also identifies what must be returned on a 271 response.
Submission 6/25/2010
Status Date 7/30/2010
Status F - Final
Primary References
Document 005010X279
Section2.4
Page44
Set ID270
Table2
Loop2110C
Segment IDEQ
Element Position01
Industry NameService Type Code
Code Value30