Eligibility Connectivity Workflow

10.2 -Eligibility Connectivity Workflow (Rev. 10236, Issued: 07-31-2020, Effective: 08-31-2020, Implementation: 08-31-2020) In 2005, the Centers for Medicare & Medicaid Services (CMS) implemented the HIPAA Eligibility Transaction System (HETS 270/271) to address the standards for the Medicare beneficiary eligibility inquiries, creating a centralized ASC X12 270/271 health care eligibility inquiry application that can process eligibility transactions in real-time. For information regarding HETS connectivity, visit the HETS Help web site. http://www.cms.gov/Research-Statistics-Data-and-Systems/CMS-Information- Technology/HETSHelp/index.html