Eligibility and Benefits (X12 270/271)

Eligibility and Benefits (X12 270/271)

Find a 270-capable payer, submit the eligibility inquiry, and read the 271 benefit response.

1. Locate a payer in the Availity directory that supports the X12 270 eligibility transaction.
2. Submit the X12 270 eligibility inquiry for the member to the selected payer.
3. Retrieve the completed X12 271 benefit response by its Availity transaction id.

What you'll need to have ready

• eligibilityRequest: The X12 270 eligibility inquiry packet (payer, provider, subscriber, and requested service types).

For your developer

Arazzo workflow availity:eligibility-benefits, 3 operations: listPayers → checkEligibility → getEligibility. Specs on APIs.io.