BCBS-IL-NM-OK-TX
(Commercial) - Quick Reference, What You Need to Know...
Search Options
Dates
- Only
the current date of service is used for an inquiry.
Previously, these payers supported up to two years in the past, no
future dates, and no date spans.
Response Data
Benefits
No differences in benefits returned for a “Health Benefit Plan
Coverage - 30” inquiry.
Demographics
- No
differences in the demographic information being returned.
-
Possibly unrelated, is that this payer only returns benefits that apply
to the
Provider's Type and Network. In other words, if an NPI is a facility
NPI, the
eligibility response will only contain facility benefits.
Disclaimer
This document is not intended to identify every scenario that may be
presented in the payer response.
It should
also be noted, that the payer response may vary depending on the search
criteria used in the initial inquiry.
Some content
is no longer returned in the X12 5010 271 response. In a similar fashion,
some content has been
modified and
new response information may be returned. Information that appeared
consistent between the
4010 and 5010
responses was not presented in this document.