Which statement best describes the 270/271 eligibility flow's role in Resolute?

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Multiple Choice

Which statement best describes the 270/271 eligibility flow's role in Resolute?

This flow is about pre-service eligibility verification. The 270 is the eligibility inquiry sent to the payer to ask if the patient has active coverage for the planned service date and benefits, while the 271 is the payer’s response detailing the patient’s eligibility status, applicable benefits, and cost-sharing (like copays or deductibles). In Resolute, using this pair before delivering services helps confirm that the visit or procedure is covered, informs the patient’s financial responsibility, and can flag any preauthorization needs. It isn’t about verifying coverage after services are rendered, updating eligibility after payment, or generating remittance advice (that remittance process uses a different transaction).

This flow is about pre-service eligibility verification. The 270 is the eligibility inquiry sent to the payer to ask if the patient has active coverage for the planned service date and benefits, while the 271 is the payer’s response detailing the patient’s eligibility status, applicable benefits, and cost-sharing (like copays or deductibles). In Resolute, using this pair before delivering services helps confirm that the visit or procedure is covered, informs the patient’s financial responsibility, and can flag any preauthorization needs. It isn’t about verifying coverage after services are rendered, updating eligibility after payment, or generating remittance advice (that remittance process uses a different transaction).

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