This transaction is usually sent by medical services providers, such as hospitals and medical facilities and sent to insurance companies, government agencies and other organizations that need information about these insurance policies.
The 270 transaction is used to describe how the services are covered for certain patients (adherent), including co-payments and co-insurance.
Information Request EDI 270 generally includes:
- Details on the sender of the request
- Name of the recipient of the request
- Details on the plan subscriber
- Details on the eligibility of the beneficiary