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Updates to 270/271 EDI Transactions
Information posted August 3, 2009: Effective August 28, 2009, the 270/271 Health Care Eligibility Benefit Electronic Data Interchange (EDI) responses will return client/policyholder relationship information.
For clients who have other insurance on the date of service, the following relationship information will be provided in the 2110C Loop:
• The REF-01 segment will contain a 49 qualifier (Family Unit Number).
• The REF-02 segment will contain a relationship code. Values for the relationship code are: “C” for child, “M” for spouse, “O” for other, “P” for parent, and “S” for self.
Revised companion guides will be available on this website on August 28, 2009.
For more information, call the TMHP EDI Contact Center at 1-888-863-3638.
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