www.cms.gov Open in urlscan Pro
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Form analysis
2 forms found in the DOM

GET /search/cms

<form action="/search/cms" method="get" id="search-block-form" accept-charset="UTF-8" class="search-form search-block-form">
  <div class="js-form-item form-item js-form-type-search form-type-search js-form-item-keys form-item-keys form-no-label">
    <label for="edit-keys--2" class="visually-hidden">Search</label>
    <input title="Enter the terms you wish to search for." placeholder="Search CMS" aria-label="Search CMS" data-drupal-selector="edit-keys" type="search" id="edit-keys--2" name="keys" value="" size="15" maxlength="128" class="form-search">
  </div>
  <div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--2"><input data-drupal-selector="edit-submit" type="submit" id="edit-submit--3" value="Search" class="button js-form-submit form-submit">
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</form>

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

<form 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 aria-label="Enter your email address for email updates" id="email-form">
    <label for="email" class="visually-hidden">Enter your email address</label>
    <input aria-label="Enter your email address:" id="email" name="email" placeholder="type your email here" type="text">
    <input id="email-submit" name="email-footer-submit" type="submit" value="Submit">
  </div>
</form>

Text Content

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BREADCRUMB

 * Home
 * Research, Statistics, Data & Systems
 * HIPAA Eligibility Transaction System (HETS) Help (270/271)
 * How to Get Connected


CMS MAIN NAVIGATION


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

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


HOW TO GET CONNECTED





ACCESS PROCESS FOR CLEARINGHOUSES/PROVIDERS: 

In order to obtain access to the HETS 270/271 application a submitter needs to
complete the Trading Partner Agreement (TPA) Form (PDF) .  Make sure the TPA
signer understands their responsibilities (PDF) before signing. 

Use our R2022Q100 HETS 270/271 Companion Guide v10-25 (PDF)  to complete your
application and submit a signed copy to mcare@cms.hhs.gov and make sure it:

 * Includes all requested information
 * Is typed, not hand written (except signatures - wet or digital signature is
   accepted)
 * Includes all pages of the application
 * Is saved as a single file
 * Is encrypted


ESTABLISH SUBMITTER ID

The MCARE Help Desk will provide you a submitter ID after CMS approves your TPA.
This ID is required on all HETS 270/271 application transactions. Real-time 270
production inquiries after successful testing.


CONNECTION OVERVIEW

Review the Rules of Behavior (PDF) and Best Practices for Managing HETS
Connections (PDF) .

You have three options to access the CMS Data Center:

 * CMS Extranet
   * Obtain an IP connection by contacting the MCARE Help Desk or 866-324-7315
     for HETS authorized connectivity vendors
 * Simple Object Access Protocol (SOAP) (PDF)
 * Multipurpose Internet Mail Extensions (MIME) (PDF)

CMS will continue to hold Clearinghouses responsible for the privacy and
security of eligibility transactions sent directly to them from Providers, and
will require them to be able to associate each inquiry with a Provider.
Submitters must establish provider authentication outside of the transaction.
Submitters must not send User IDs and passwords within the 270 eligibility
transaction.


DOWNLOADS

 * R2022Q100 HETS 270 Request Example (PDF)
 * R2022Q100 HETS 271 Response Example (PDF)

Page Last Modified:
04/27/2022 12:39 PM
Help with File Formats and Plug-Ins
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