Eligibility Gateway Reference Guides

ELIGIBILITY GATEWAY SUPPORT
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EDI Direct Eligibility Payer List (PDF, 390KB): List of payers we currently offer for eligibility transaction processing including X12 270/271 and X12 276/277

EDI Direct Pass Thru Fee List (PDF, 111KB): List of eligibility and claim status payers who charge pass thru fees and the related per transaction charges

eGateway Companion Guide (PDF, 602KB): Intended for trading partner use in conjunction with the ANSI ASC X12N National Implementation Guide

Payer Reference Guides: Specific requirements and data types for individual payers by transaction type and X12 version



Eligibility Verification Services

  • Eligibility Gateway Reference Guides

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