CHC Carelink (Medicaid) - Quick Reference, What You Need to Know...

The official payer name is Coventry Health Care Carelink Medicaid. However, the old resource name of CHC Carelink Medicaid will remain in 5010, until which time the 4010 version is retired. Once the 4010 version is retired, the payer name will be changed accordingly.

Search Options

1. Provider, Beginning and Ending Dates, and Subscriber ID.
2. Provider, Beginning and Ending Dates, and Recipient ID.
3. Provider, Beginning and Ending Dates, Social Security Number, and Date of Birth.
4. Provider, Beginning and Ending Dates, Last Name, First Name, and Group Number.

Dates

Response Data

Benefits
The following information is based on a generic “Health Benefit Plan Coverage - 30” inquiry.
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.