1. Recipient ID, and Date of Birth.
2. Recipient ID, and Social Security Number.
3. Recipient ID, Last Name, First Name, and Middle Initial.
4. Social Security Number, and Date of Birth.
5. Social Security Number, Last Name, First Name, and Middle Initial.
6. Last Name, First Name, Middle Initial, and Date of Birth.
Dates
Response Data
Benefits
The following information is based on a generic “Health Benefit Plan Coverage - 30” inquiry.
The Country Code (US) is no longer returned.
When applicable, the 5010 response now returns multiple service type codes in the eligibility
benefit loop (EB03). Previously, the 4010 response only returned a Service Type Code of 30.The 5010 response now uses the new service type code for Mental Health – MH.