{"id":1850,"date":"2024-12-06T18:01:58","date_gmt":"2024-12-07T02:01:58","guid":{"rendered":"https:\/\/www.qualityhealth.org\/adminsimp\/?page_id=1850"},"modified":"2026-06-08T10:10:34","modified_gmt":"2026-06-08T17:10:34","slug":"requesting-and-receiving-coverage-information-for-eligibility-and-benefits-hipaa-270-271","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/adminsimp\/requesting-and-receiving-coverage-information-for-eligibility-and-benefits-hipaa-270-271\/","title":{"rendered":"Requesting and Receiving Coverage Information for Eligibility and Benefits (HIPAA 270-271)"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]Defines the set of eligibility and benefits information to be made available on health plan web sites and within the HIPAA 270-271 transaction set.<\/p>\n<p><strong>BPR Document<\/strong><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/adminsimp\/wp-content\/uploads\/sites\/25\/2026\/06\/Posted-BPR-Eligibility-and-Benefits.pdf\" target=\"_blank\" rel=\"noopener\">BPR &#8211; Eligibility and Benefits<\/a><\/p>\n<div id=\"block-ohp-sub-theme-content\" class=\"block block-system block-system-main-block\">\n<article class=\"node node--type-best-practice-recommendation node--view-mode-full\">\n<div class=\"node__content\">\n<div class=\"field field--name-field-bpr-file field--type-file field--label-above\">\n<div class=\"field__label\">\n<div class=\"field field--name-field-bpr-category field--type-entity-reference field--label-above\">\n<div class=\"field field--name-field-bpr-category field--type-entity-reference field--label-above\">\n<div class=\"field field--name-field-bpr-category field--type-entity-reference field--label-above\">\n<p><strong>BPR Category<\/strong><br \/>\nHIPPA Transactions<\/p>\n<\/div>\n<div class=\"field field--name-field-legislation-page field--type-entity-reference field--label-above\">\n<p class=\"field__label\"><strong>Legislation Page<\/strong><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/adminsimp\/essb-5346\/\">ESSB 5346<\/a><\/p>\n<p><strong>Legislative Section<\/strong><br \/>\nSection 8 (1)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"field field--name-field-legislation-page field--type-entity-reference field--label-above\">\n<p><strong>Related Documents<\/strong><br \/>\n<a href=\"http:\/\/www.qualityhealth.org\/adminsimp\/wp-content\/uploads\/sites\/25\/2024\/12\/EB_Web_Validation_Worksheet.pdf\" target=\"_blank\" rel=\"noopener\">Web Validation Worksheet<\/a><br \/>\n<a href=\"http:\/\/www.qualityhealth.org\/adminsimp\/wp-content\/uploads\/sites\/25\/2024\/12\/EB_Web_Rating_Worksheet.pdf\" target=\"_blank\" rel=\"noopener\">Web Rating Worksheet<\/a><br \/>\n<a href=\"http:\/\/www.qualityhealth.org\/adminsimp\/wp-content\/uploads\/sites\/25\/2024\/12\/EB-Trans-Validation-Worksheet5010.pdf\" target=\"_blank\" rel=\"noopener\">Transaction Validation Worksheet<\/a><\/p>\n<p><strong>Validation Findings<\/strong><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/adminsimp\/hipaa-transaction-bpr-requesting-and-receiving-coverage-information-for-eligibility-and-benefits\/\">HIPAA Transaction BPR: Requesting and Receiving Coverage Information for Eligibility and Benefits<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]Defines the set of eligibility and benefits information to be made available on health plan web sites and within the HIPAA 270-271 transaction set. BPR Document BPR &#8211; Eligibility and Benefits BPR Category HIPPA Transactions Legislation Page ESSB 5346 Legislative Section Section 8 (1) Related Documents Web Validation Worksheet Web Rating Worksheet Transaction Validation&#8230;","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-1850","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.10 - aioseo.com -->\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<link rel=\"canonical\" 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