After these settings are established for a payor, the software will automatically separate service type codes and send multiple 270 files (as necessary) when a user clicks 
(in Patients | Intake / Referral | Insurance | Eligibility).
Before verifying eligibility for patients, agencies must indicate if a payor allows multiple service type codes (STC) to be included within 270 transaction files that are submitted to them. For payors that support multiple codes, you must also specify the maximum number of STC codes allowed per 270 file.
|
|
After these settings are established for a payor, the software will automatically separate service type codes and send multiple 270 files (as necessary) when a user clicks |
Follow the process below to establish 270 file specifications for a payor:
1. Using the main menu on the left, navigate to Master Files | Payors / Plans | Payors.
2. From the Payors grid, select the appropriate payor. This will setup the quantity of service type codes that are allowed in all 270 files that are sent to this payor.
3. Determine the correct number of service type codes this payor allows in 270 files.
|
|
Refer to our “Eligibility Payor Setup” document for information on commonly used payors. For payors that are not in this list, please refer to their 270 Companion Guide, or contact HEALTHCAREfirst Support at 888-563-7016 if you require assistance in determining this setting. |
4. If the payor allows more than one service type code included within eligibility files that are submitted to them, check the Supports multiple service type codes box that is located underneath the Phones / Email section. Do not check this box (and skip to step 7) if the selected payor only allows one service type code in 270 files.
|
|
When this box is not checked, the software will only include one code in each 270 file that is submitted to the payor. Additional service type codes will be sent in separate 270 files. |
5. If the Includes multiple service type codes in 270 option is selected, use the Max Per 270 field to indicate the maximum number of service type codes that can be included in 270 files. For successful submission of 270 files, confirm that this number is correct.
|
|
This box should be checked and the Max Per 270 value should be set to “81” for the following Medicare payors: Palmetto GBA, CGS, and NGS. |
6. Click 
to finalize the 270 settings for the payor.
7. Repeat steps 2-6 for additional payors until the payor list is set up for the agency.