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HIPAA Eligibility Transaction System (HETS) Help (270/271)

Help With File Formats

WRAPPER INFORMATION:

Each submitted transmission shall contain one 270 transaction with only one ISA and IEA segment, along with a transmission wrapper around the 270 transaction. The transmission wrapper Header/Trailer has no Segment ID associated with it and requires the length of the transaction message. There will be no handshake after the connection is accepted with the first submitted transmission.

Outbound response transactions will have the same format transmission wrapper. The response to the submitter will be returned in the same session in which the 270 was submitted.

 

Standard format of the TCP/IP Communication Transport Protocol Wrapper:

SOHLLLLLLLLLLSTXETX

SOH = Required (1 position), must be ASCII - 01

LLLLLLLLLL = Required (10 positions), Right justified with zero padded

Note: Length of the HIPAA 270 transaction not including Transmission wrapper data.

STX = Required ( 1 position), must be ASCII - 02

= Required (HIPAA 270 � ISA-IEA)

ETX = Required (1 position), Must be ASCII - 03

 

Note: For more details about SOH, STX and ETX see the Health Care Eligibility Benefit

Inquiry and Response 270/271 ASC X12 Extended Control Set in the ASC X12 Standards for

Transactions 270/271 004010X092A1 Implementation Guide.

 

See Downloads for a 271 Response Example (with field explanation)

Downloads

HETS 270/271 User Companion Guide[PDF,101.37KB]

HETS UI User Companion Guide[PDF,563.82KB]

271 Response Example[PDF, 21KB]
Related Links Inside CMS

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www.wpc-edi.com  - Implementation Guides are available for download from this site. Additionally, all code lists can also be obtained through this site as well.

 

Page Last Modified: 12/20/2007 1:26:09 PM
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