This question is for 275 - 005010X211.
Does this implementation support the following case:
1. Provider sends pre-authorization request to Payer (278, 005010X217)
2. Payer responds with the request for additional information with 278 (005010X217) and 275 (005010X211)
If such use of 275 is supported, when should be the value of BGN01?
If it's not supported, what other 275 TR3 supports it?
No, this business scenario is not supported using the 275 (0050101X211) but will be supported in Additional Information to Support a Healthcare Services Review 006020X278 since BGN01 equal to 02 is not limited to the request only in that version.
We recommend using version 006020X278 when it is published.
We recommend using version 006020X278 when it is published.