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US · guidance

CMS Pub. 100-04, ch. 31, § 10.1

Background

activein force · 2026-08-25 – presentas-observed

This section provides information on Medicare’s implementation of the Accredited

Standards Committee (ASC) X12 Health Care Eligibility Benefit Inquiry and Response

(270/271) transaction (short reference: ASC X12 270/271 eligibility transaction). The

CMS supports the currently mandated version of the transaction based upon the currently

mandated version of the ASC X12 Standards for Electronic Data Interchange Technical

Report Type 3--Health Care Eligibility Benefit Inquiry and Response (270/271), both of

which were adopted as the National standard for the health care eligibility benefit inquiry

and response under the Health Insurance Portability and Accountability Act of 1996

(HIPAA). The technical report 3 is also known as a TR3 or implementation guide (IG).

(Refer to chapter 24 for current versions adopted under HIPAA.)

History

(Rev. 2937, Issued; 04-25-14, Effective: 04-14-14, Implementation: 04-14-14)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
d46e672716db4239652a2361b194f4ca5dbe7b2713925252d90668c5174bd3a6
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