EDI Transaction Set
EDI 270: Eligibility, Coverage Or Benefit Inquiry
EDI 270 is the X12 Eligibility, Coverage Or Benefit Inquiry transaction set, used within Electronic Data Interchange (EDI). This transaction set can be used to inquire about the eligibility, coverages or benefits associated with a benefit plan, employer, plan sponsor, subscriber or a dependent under the subscriber''s policy. The transaction set is intended to be used by all lines of insurance such as Health, Life, and Property and Casualty.
What the 270 transaction set covers
Eligibility, Coverage or Benefit Inquiry This X12 Transaction Set contains the format and establishes the data contents of the Eligibility, Coverage or Benefit Inquiry Transaction Set (270) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used to inquire about the eligibility, coverages or benefits associated with a benefit plan, employer, plan sponsor, subscriber or a dependent under the subscriber''s policy. The transaction set is intended to be used by all lines of insurance such as Health, Life, and Property and Casualty.
How Interlink handles the 270
Interlink Commerce maps, transmits, and monitors the 270 for you as part of fully managed EDI — connected straight to your ERP or systems, certified against your retailer’s requirements, and billed only when you trade. Most suppliers go live within 30 days.