Review Guidelines

To review the guideline loaded for the 270 Eligibility, Coverage or Benefit Inquiry transaction, perform the following steps:

Procedure

1. On the B2B Administration tile, click Operations Editor.

2. Click the X12 protocol.

3. Click the icon to display all X12 operations.

   Figure 14: Edit Operations
   

   

4. Click the 270 link.

5. Click the Guideline tab.

6. Notice that there is not a guideline specified for the Request, the Acceptance Response, or the Rejection Ack. Only the GS01 Functional Identifier Code has to be specified for each of these items.

   Guideline files do not have to be specified for HIPAA transactions because BusinessConnect Container Edition - EDI Protocol HIPAA Edition powered by Instream has default guidelines that provide HIPAA-compliant validation. For HIPAA transactions, it uses the default guideline if the Transaction Guideline field is left empty and the interchange and group are properly named.

7. Click Save.