South Dakota
(Medicaid) - Quick Reference, What You Need to Know...
Search Options
- No
changes in search options or search criteria.
For
successful transaction processing, dependent data may be promoted to the
subscriber loop.
Dates
-
No changes in date rules.
-
Inquiry dates now reference a Plan Date –
291 (DTP01).
Response Data
Benefits
The following information is based on a
generic “Health Benefit Plan Coverage - 30” inquiry.
-
There were no differences identified between the 4010 and 5010
responses.
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.