Transaction

T 68 - Patient Health Plan Authorization Request and Response Transaction

The Patient Health Plan Authorization Request and Response Transaction provides a mechanism for a healthcare provider (other than a retail pharmacy) to request approval from a health plan to authorize certain healthcare services, when required by the patient’s health plan contract. The information exchanged includes, but is not limited to, approval status for coverage, allowed service provider(s), and certification dates for services that are included in the patient’s health plan benefits. The response from the health plan indicates that the health plan has determined that the particular service(s) will or will not be covered, and what is the level of coverage if that information is available from the health plan. View the most current version as HTML here.

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Construct	Title / Version	Referenced by	Status	Document Access
T 68	Patient Health Plan Authorization Request and Response Transaction Version: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)	DOWNLOAD
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T 68	Patient Health Plan Authorization Request and Response Transaction Version:2.0		Released (Panel Approved)	DOWNLOAD

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Reference Documents

Acronyms
AHIC Use Cases
Conventions (naming and numbering)
Glossary
Harmonization Framework
Interoperability Specifications Overview