Friday, January 6, 2017

Listserv/Title Eligibility in 271 Response


This e-mail is to alert you to a change effective December 21, 2016 in the 271, electronic Health Care Eligibility Benefit Response, Loop 2110C, MSG01 segment.  An update to the Chapter 300 Companion Guide will be made at a later date.  Providers are encouraged to pass this information on to their software vendors.

 There are now four characters displayed in this segment. Previously, there were only two.  The first two characters following the SEE COMPANION GUIDE MESSAGE designate the co-payment message number and the second set of two characters designate the participant’s Title information. 

 
For example:  MSG*SEE COMPANION GUIDE MESSAGE – 10 19

 
In the above example, the first two characters, 10, designate the message number and the following two characters, 19, designate Title 19.  The first two characters still correspond to the Special Messages listed in the 270/271 Standard Companion Guide Section 4.3.  The range of options for the second two characters that may display are 19 for Title 19, 21 for Title 21, and SF for State Funded.