Eligibility Field Reference

To see details regarding Ensora Clearinghouse's JSON field mapping to the X12 270/271 Schema, please follow the link below to download the spreadsheet containing the field mappings.
Within the spreadsheet the Required column indicates whether a particular field is required in all requests. Optional fields may be required in certain situations. The Level column indicates whether the field appears at the Request, Payer, Payee (Provider), Subscriber or Dependent level of the request.

For more definitions of the various enumerations, see Enumerations.

Click HERE to download the associated Excel spreadsheet.