United States Health Information Knowledgebase


HITSP CAP140 Communicate Benefits and Eligibility

Type:Data Agreement
Start Date:2009-09-07
Scope:This capability addresses interoperability requirements that support electronic inquiry and response from a patient's eligibility for health insurance benefits. The information exchanged includes the following:
1. A patient's identification (i.e., name, date of birth, and the health plan's member identification number)
2. Communication of a member's status of coverage and benefit information and financial liability
3. Access to information about types of services, benefits and coverage for various medical care and medicationsIt provides clinicians with information about each member's health insurance coverage and benefits.
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Relationship Organization Item
describes HITSP HITSP IS107 EHR-Centric Interoperability Specification Compare these items   

There are no Value Domains linked to HITSP CAP140 Communicate Benefits and Eligibility.

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