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Healhcare Information Technology Standards Panel
HealthCare Information Technology Standards Panel
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HITSP has reprioritized its 2009 work to provide greater focus on provisions of the American Recovery and Reinvestment Act.


Transaction

T 40 - HITSP Patient Generic Health Plan Eligibility Verification Transaction

The Patient Health Plan Eligibility Verification Transaction is intended to provide the status of a health plan covering the individual, along with details regarding patient liability for deductible, co-pay and co-insurance amounts for a defined base set of generic benefits or services. The base set of benefits includes, but is not limited to, coverage status and patient liability for medical, chiropractic, dental, hospital inpatient, hospital outpatient, emergency, physician office visit, pharmacy and vision services that are included in the patient’s generic health plan benefit.

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ConstructTitle / VersionReferenced byStatusDocument Access
T 40HITSP Patient Generic Health Plan Eligibility Verification Transaction
Version:1.0
IS 7 V:1.0
Released
(Panel Approved)
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T 40HITSP Patient Generic Health Plan Eligibility Verification Transaction
Version:1.1
Released
(Panel Approved)
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T 40HITSP Patient Generic Health Plan Eligibility Verification Transaction
Version:1.3
IS 7 V:1.1
IS 4 V:2.0
IS 8 V:1.0
IS 9 V:1.0
IS 77 V:1.0
Released
(Panel Approved)
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T 40HITSP Patient Generic Health Plan Eligibility Verification Transaction
Version:1.4
Released
(Panel Approved)
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