Insurance Verification

Verify patient eligibility and benefits via 270/271 EDI transactions

Verify Eligibility

Patient *

Payer / Insurance *

Service Type

Date of Service

NPI

Eligible Alice Johnson — BCBS PPO Verified Apr 2, 2026

Member ID

BCBS-0042891

Group Number

GRP-77432

Plan

BlueCare PPO Plus

Effective Date

Jan 1, 2026

Copay

$30

Specialist visit

Deductible

$1,500

Met: $420 (28%)

OOP Maximum

$5,000

Met: $420 (8%)

Remaining Deductible

$1,080

Patient responsibility

270/271 Transaction Viewer

ISA*00* *00* *ZZ*SENDER *ZZ*BCBS *260402*1200*^*00501*000000001*0*P*:~ GS*HS*SENDERID*RECEIVERID*20260402*1200*1*X*005010X279A1~ ST*270*0001*005010X279A1~ BHT*0022*13*123456789*20260402*1200~ HL*1**20*1~ NM1*PR*2*BLUE CROSS BLUE SHIELD*****PI*BCBS-001~ HL*2*1*21*1~ NM1*1P*1*DOE*JANE****XX*1234567890~ HL*3*2*22*0~ TRN*1*93175-012547*9877281234~ NM1*IL*1*JOHNSON*ALICE****MI*BCBS-0042891~ DMG*D8*19580314*F~ DTP*291*D8*20260402~ EQ*30~ SE*13*0001~ GE*1*1~ IEA*1*000000001~

Verification History

Patient	Payer	Service Type	DOS	Verified By	Result	Copay
Alice Johnson	BCBS PPO	Health Plan	Apr 2	Front Desk	Eligible	$30
Robert Martinez	Aetna HMO	Health Plan	Apr 1	Front Desk	Eligible	$25
Mary Thompson	Medicare B	Health Plan	Apr 2	Billing Dept	Eligible	20%
Linda Garcia	Medicaid	Health Plan	Mar 31	Front Desk	Inactive	—
James Wilson	UHC Choice Plus	Health Plan	Mar 30	Billing Dept	Eligible	$40