HIPAA: 270/271 Real-Time Internet Eligibility (RTIE) Screen Changes
March 22, 2004On March 22, 2004, selected field names used in the 270/271 Real-Time Internet Eligibility (RTIE) transactions (previously called "Determine Patient's Eligibility and Internet Batch Eligibility [IBEA] Processing") changed to comply with transaction standards mandated by the Health Insurance Portability and Accountability Act (HIPAA). The 270/271 RTIE is used to inquire about Medi-Cal eligibility. For providers' reference, the old field name will be shown either in parenthesis after the new field name or in a pop-up text box that appears when the cursor pauses over a new field name.
Field name changes appearing on the 270/271 transaction are shown in the following table.
| Field Name | New HIPAA-Compliant Field Name |
| Recipient | Subscriber |
| Recipient ID | Subscriber ID |
| Date of Birth | Subscriber Birth Date |
| Last Name | Subscriber Last Name |
| First Name | Subscriber First Name |
| Date of Card Issue | Issue Date |
| Share of Cost | SOC (Spend Down) |
| Date of Service | Service Date |
| Scope of Coverage | Service Type (Scope of Coverage) |
| Billed Amount | Total Claim Charge Amount |
| Eligibility Verification Confirmation (EVC) Number | Trace Number (Eligibility Verification Confirmation [EVC] Number) |
| Provider Number | Service Provider Number |
| Provider Name | Information Receiver Name |
| MEDI Services | Medical Services Reservation |
The following three examples of 270/271 transaction screens show some of the affected field names before and after the HIPAA-compliant changes.
Example 1: Eligibility Transaction Services Menu Field
Names.
Example 1 with new HIPAA-compliant field names.
Example 2: Eligibility Single Subscriber Field Names.
Example 2 with new HIPAA-compliant field names.
Example 3: Eligibility Multiple Subscribers Field
Names.
Example 3 with new HIPAA-compliant field names.
