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Health Care Benefit Coordination Verification

July 20th, 2018

What is an EDI 269 Health Care Benefit Coordination Verification Document?

EDI 269 is an ANSI X12 transaction set that is used for health care benefit coordination verification. It helps in exchanging information related to benefit coordination. The transaction set can be used for the following purposes:

  • To communicate information about health care benefit coordination
  • To transmit identification of claims
  • To transmit previous adjudication details
  • To transmit adjudication verification
  • To request verification of benefit coordination information
  • To request response of benefit coordination information request

The data contents and format of EDI 269 Health Care Benefit Coordination Verification are used for the electronic interchange of information. It is divided into various segments and data elements.

Workflow for the Exchange of an EDI 269 Health Care Benefit Coordination Verification Document

EDI 269 falls under the category of X12N Insurance transaction sets. Health care providers, insurers, and payers use this transaction set to exchange information pertinent to health care benefit coordination. It is also used in combination with other EDI documents to provide information related to health care insurance.

Stay EDI Compliant with EDIConnect

EDIConnect is an enterprise-grade EDI solution that simplifies the process of sending and receiving EDI messages. It is designed to handle X12 and EDIFACT transaction sets with its built-in EDI parser, validator, and transaction builder. It also offers features to help businesses comply with EDI requirements and communicate seamlessly with their trading partners

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