Guide ID X40 Published 2/1/2006
Set ID 271 Version 004010
Name Unsolicited Health Care Eligibility/Benefit Roster
Purpose The Unsolicited Health Care Eligibility/Benefit Roster Implementation Guide describes the use of the ANSI ASC X12 Eligibility, Coverage or Benefit Information (271) Version/Release 3070 transaction set for the unsolicited request for the following roster types:
  • Capitation payment detail
  • Membership list
  • Plan (coverages)
  • Group (employer)
  • Provider