www.cms.gov Open in urlscan Pro
2a02:26f0:3100:396::28a  Public Scan

Form analysis
2 forms found in the DOM

GET /search/cms

<form region="cms_header_secondary" action="/search/cms" method="get" id="search-block-form" accept-charset="UTF-8">
  <div class="js-form-item form-item js-form-type-search form-item-keys js-form-item-keys form-no-label">
    <label for="edit-keys--2" class="ds-c-label visually-hidden">Search</label>
    <input title="Enter the terms you wish to search for." data-drupal-selector="edit-keys" type="search" id="edit-keys--2" name="keys" value="" size="15" maxlength="128" class="form-search ds-c-field" data-once="placeholder"
      placeholder="Search CMS.gov">
  </div>
  <div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--QC6blGPRiWQ">
    <div class="header-search-bar">
      <input data-drupal-selector="edit-submit" type="submit" id="edit-submit--2" value="Search" class="button js-form-submit form-submit ds-c-button ds-c-button--solid" data-once="searchMatch">
      <i class="fas fa-search" focusable="false"></i>
    </div>
  </div>
</form>

POST https://public.govdelivery.com/accounts/USCMS/subscribers/qualify

<form aria-label="Enter your email address for email updates" accept-charset="UTF-8" action="https://public.govdelivery.com/accounts/USCMS/subscribers/qualify" id="email-footer-form" method="post"
  data-drupal-form-fields="email-footer-input,email-submit">
  <div class="ds-u-display--flex" id="email-form">
    <div class="ds-u-display--flex ds-u-flex-direction--column flex-grow">
      <label for="email" class="ds-u-font-weight--bold ds-u-margin-bottom--1">Email</label>
      <input required="required" aria-label="Enter your email address:" name="email" type="text" placeholder="you@example.com" class="ds-c-field">
    </div>
    <div class="submit-button ds-u-margin-top--2">
      <label id="email-submit-label" for="email-footer-submit" class="ds-u-visibility--screen-reader">Sign up - opens in a new window</label>
      <button id="email-submit" aria-labelledby="email-submit-label" class="ds-c-button ds-c-button--solid cms--external-button" name="email-footer-submit" type="submit" value="Sign up" data-once="signUpMatch">Sign up</button>
    </div>
  </div>
</form>

Text Content

Skip to main content
U.S. Flag

An official website of the United States government Here’s how you know

Official websites use .gov
A .gov website belongs to an official government organization in the United
States.

Secure .gov websites use HTTPS
A lock ( lock ) or https:// means you’ve safely connected to the .gov website.
Share sensitive information only on official, secure websites.

Centers for Medicare & Medicaid Services
Header
 * About CMS
 * Newsroom

Search

CMS.gov main menu
 * Medicare
 * Medicaid/CHIP
 * Medicare-Medicaid Coordination
 * Private Insurance
 * Innovation Center
 * Regulations & Guidance
 * Research, Statistics, Data & Systems
 * Outreach & Education
 * About CMS
 * Newsroom


BREADCRUMB

 * 
 * Research, Statistics, Data & Systems
 * HIPAA Eligibility Transaction System (HETS) Help (270/271)


PAGES IN THIS SECTION


 * HIPAA ELIGIBILITY TRANSACTION SYSTEM (HETS) HELP (270/271)

 * * About HETS 270/271
   * How to Get Connected
   * System Monitoring
   * MCARE Notifications
   * HETS Documentation Library


HIPAA ELIGIBILITY TRANSACTION SYSTEM (HETS)




The HIPAA (Health Insurance Portability and Accountability Act) Eligibility
Transaction System (HETS) allows you to check Medicare beneficiary eligibility
data in real-time. Use HETS to prepare accurate Medicare claims, determine
beneficiary liability, or check eligibility for specific services.

HETS allows users to submit HIPAA compliant 270 eligibility request files over a
secure connection and receive 271 response files. Submitters must develop or
acquire a tool to construct and send 270 eligibility request files and receive
and deconstruct 271 eligibility response files in a real-time environment. HETS
270/271 application supports real-time transactions only.  The HETS 270/271
application does not accept batch transactions.

Our updated HDT User Guide (PDF) will help you get started. 


RECENT ANNOUNCEMENTS

 * Medicare HETS 270/271 - Information Bulletin - Upcoming R2023Q200 System
   Release - May 17, 2023

IMPORTANT ANNOUNCEMENTS:

 * Medicare HETS 270/271 - Information Bulletin - Value-Based Insurance Design
   (VBID) - December 14, 2022
 * Medicare HETS 270/271 - Information Bulletin - August 9, 2022
 * Medicare HETS 270/271 - COVID-19 Immunization Data - April 16, 2021


SYSTEM MAINTENANCE

The HETS 270/271 application is typically available 24 hours a day, 7 days a
week.  At this time, there are no standing HETS 270/271 maintenance windows. 
MCARE will notify HETS Trading Partners of any planned downtime.  All current
and archived downtime notifications are available via the MCARE Notifications
link.

Contact Us

The MCARE Help Desk is accessible Monday through Friday, from 7 am to 7 pm ET.
Be ready to provide examples of any issues in a timely manner for proper
support.

 * mcare@cms.hhs.gov
 * 1-866-324-7315

 


DOWNLOADS

 * R2023Q100 HETS 270/271 Companion Guide v10-29 (PDF)
 * Current Data Issues (PDF)
 * HETS 270/271 FAQs (PDF)
 * HETS 270/271 Vendor List (PDF)

Page Last Modified:
05/17/2023 02:52 PM
Help with File Formats and Plug-Ins


GET EMAIL UPDATES

Sign up to get the latest information about your choice of CMS topics. You can
decide how often to receive updates.

Email
Sign up - opens in a new window Sign up
CMS & HHS Websites CMS & HHS Websites
 * Medicare.gov
 * Medicaid.gov
 * InsureKidsNow.gov
 * HealthCare.gov
 * HHS.gov
 * HHS.gov/Open

About CMS About CMS
 * About Us
 * Careers
 * Newsroom
 * Blog
 * Podcast

Tools Tools
 * Acronyms
 * Archive
 * Contacts
 * Glossary

Helpful Links Helpful Links
 * Web Policies
 * Privacy Policy
 * Plain Language
 * Privacy Settings Privacy Settings
 * Nondiscrimination & Accessibility
 * Developer Information

USA Government Sites USA Government Sites
 * Freedom of Information Act
 * No Fear Act
 * Inspector General
 * USA.gov


CONNECT WITH CMS

 * Linkedin link
 * Youtube link
 * Facebook link
 * Twitter link
 * RSS Feed link

A federal government website managed and paid for by the U.S. Centers for
Medicare & Medicaid Services.

7500 Security Boulevard, Baltimore, MD 21244



Feedback