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Back  RFI # 1338: Search on MID only

Formal vs. Informal Help Informal Formal

Submitter

Ylitalo Tamara

Description

The 270/271 Health Care Benefit Inquiry and Response TR3 Section 1.4.8 Search Options describe maximum required Primary & Alternate Search Options. However, is not clear what the minimum search option is. Should a Member ID alone be considered sufficient data to perform a search?

Submitter Assigned Keywords

270 Minimum Search Options

Response

No minimum search criteria are identified in 005010X279. If an Information Source choses to support an alternate search option that contains only a Member ID, they may do so; however they should only respond if there is only one individual that matches the Member ID in their system.

Recommendation

For 5010, it is recommended that at least two pieces of information are used to ensure that mis-keying of the member ID has not occurred.
Submission 6/23/2011
Status Date 1/4/2012
Status F - Final
Primary References
Document 005010X279
Section1.4.8
Page25
Table2
Loop2100C
Segment PositionNM1