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All CollectionsX12 EDITransaction Sets200-299
X12 - 269 - Health Care Benefit Coordination Verification
X12 - 269 - Health Care Benefit Coordination Verification
Skylar Nguyen avatar
Written by Skylar Nguyen
Updated this week

Product: X12 EDI

Transaction: 269


269 - Health Care Benefit Coordination Verification

FUNCTIONAL GROUP=HV

This X12 Transaction Set contains the format and establishes the data contents of the Health Care Benefit Coordination Verification Transaction Set (269) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used to transmit and respond to Health Care Benefit coordination information such as claim identification, previous adjudication details, and adjudication verification from one Health Care Payer to another. The transaction can be used as a notification of benefit coordination information. When used as a request for verification of benefit coordination information, the 269 is the response to that request for benefit coordination information verification.


SCHEMA


ST

Segment

Name

Position

ST

0100

BGN

Beginning Segment

0200

1000

2000

Segment

Name

Position

TRN

Trace

0100

CLP

Claim Level Data

0200

DTP

Date or Time or Period

0300

AAA

Request Validation

0400

2100

Segment

Name

Position

NM1

Individual or Organizational Name

0500

N2

0600

N3

0700

N4

0800

REF

0900

PER

1000

DTP

Date or Time or Period

1100

2200

Segment

Name

Position

SVC

Service Information

1200

DTP

Date or Time or Period

1300

SE

Transaction Set Trailer

1400


COMMENTS


Notes

2/0100

The TRN segment is used to uniquely identify and tie an inquiry to a response.

rev 29/11/2024

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