The Eligibility and Benefits Inquiry (270) transaction is sent out from Epic to the patient’s insurance carrier or clearinghouse. This request contains patient demographic and insurance plan details to verify active coverage and benefits for planned services.
Financial
financial
CoverageEligibilityResponse*
Production Ready
Not Supported by the source
Not Supported by the source
Not Supported by the source
Not Supported by the source
Not Supported by the source
Production Ready
Production Ready
The Eligibility and Benefits Response (271) transaction is returned by the insurer or clearinghouse, providing detailed insurance coverage information such as plan effective dates, covered services, copay amounts, deductibles, and benefit maximums.