Transaction

T 85 - Administrative Transport to Health Plan

The Administrative Transport to Health Plan Transaction will be used as the transport for administrative transactions between a provider and a health plan. Examples include a pharmacy obtaining health plan eligibility, and a physician requesting referral or authorization information from a health plan. This construct is based on the CAQH Phase II CORE #270 Connectivity Rule v2.0.0, which addresses the message envelope metadata, the message envelope standards, and the submitter authentication standards for administrative transactions, as well as communications-level errors, and acknowledgements. View the most current version as HTML here.

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Construct	Title / Version	Referenced by	Status	Document Access
T 85	Administrative Transport to Health Plan Version:1.1	IS 4 V:2.0 IS 8 V:1.0 IS 9 V:1.0 IS 77 V:1.0	Released (Panel Approved)	DOWNLOAD
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Reference Documents

Acronyms
AHIC Use Cases
Conventions (naming and numbering)
Glossary
Harmonization Framework
Interoperability Specifications Overview