CMS+esMD+References

HITSP Material related to 270/271 Eligibility Transactions
The HITSP materials below may be useful as we examine 275 for esMD.

The definitive HITSP document in this regard is Capability 140 (CAP140) available at [].Table 4-2 in this document identifies specific HITSP constructs for both the transport and the content definition for this eligibility transaction set for both medical and pharmacy benefits inquiries. These constructs are also available on the []site under their respective category, e.g Service Collaboration (SC), Transaction Package (TP), Transaction (T).

Representatives from CAQH were active participants in the completion of all the HITSP deliverables in this regard and should be very familiar with its content and if/how it could be utilized for the esMD profile requirements regarding the X12 275 payload.