	Ref	Id	Element Name	Req	Type	Min/Max	Usage
	BHT01	1005	Hierarchical Structure Code Description: Code indicating the hierarchical application structure of a transaction set that utilizes the HL segment to define the structure of the transaction set Use this code to specify the sequence of hierarchical levels that may appear in the transaction set. This code only indicates the sequence of the levels, not the requirement that all levels be present. For example, if code “0022" is used, the dependent level may or may not be present for each subscriber.	M	ID	4/4	Required

Code

Name

Cancellation

Use this code to cancel a previously submitted 270 transaction. Only 270 transactions that used a BHT06 code of either "RT" or "RU" can be canceled. The cancellation 270 transaction must contain the same BHT06 code as the previously submitted 270 transaction.

Request

Authority to Deduct (Reply)

Some health plans, Medicaid in particular, limit the number of certain services allowed during a certain period of time. These services are typically deducted from the count at the time an eligibility request is sent (if there are services remaining). A positive response in a 271 not only indicates that the inquired benefit exists but that the count for this service has been reduced by one (unless a specific number of services greater than one are requested in the request). If the service is not rendered, a Cancellation 270 must be submitted (using BHT02 code "01").

BHT03	127	Reference Identification Description: Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier Industry: Submitter Transaction Identifier This element is required to be used if the transaction is processed in Real Time. This element is to be used to trace the transaction from one point to the next point, such as when the transaction is passed from one clearinghouse to another clearinghouse. This identifier is to be returned in the corresponding 271 transaction’s BHT03. This identifier will only be returned by the last entity to handle the 270. This identifier will not be passed through the complete life of the transaction. All recipients of 270 transactions are required to return the Submitter Transaction Identifier in their 271 response if one is submitted.	O	AN	1/30	Recommended
BHT04	373	Date Description: Date expressed as CCYYMMDD Industry: Transaction Set Creation Date Use this date for the date the transaction set was generated.	O	DT	8/8	Required
BHT05	337	Time Description: Time expressed in 24-hour clock time as follows: HHMM, or HHMMSS, or HHMMSSD, or HHMMSSDD, where H = hours (00-23), M = minutes (00-59), S = integer seconds (00-59) and DD = decimal seconds; decimal seconds are expressed as follows: D = tenths (0-9) and DD = hundredths (00-99) Industry: Transaction Set Creation Time Use this time for the time the transaction set was generated.	O	TM	4/8	Required
BHT06	640	Transaction Type Code Description: Code specifying the type of transaction Certain Medicaid programs support additional functionality for Spend Down or Medical Services Reservation. Use this code when necessary to further specify the type of transaction to a Medicaid program that supports this functionality.	O	ID	2/2	Situational

Code

Name

Spend Down

"Spend Down" is a term used by certain Medicaid programs when a recipient must pay a predetermined amount out of his or her own pocket before full coverage benefits are applied. In order to decrement the amount the recipient must pay out of pocket, a 270 transaction must be sent in with this code.

Medical Services Reservation

"Medical Services Reservation" is a term used by certain Medicaid programs when a recipient is allowed a predetermined amount of a particular service. To decrement the count, a Medical Services Reservation must be sent in. In the event that the service is not rendered, an additional 270 must be sent in with a BHT02 with a code "01" to cancel the Medical Services Reservation.

1.	BHT03 is the number assigned by the originator to identify the transaction within the originator's business application system.
2.	BHT04 is the date the transaction was created within the business application system.
3.	BHT05 is the time the transaction was created within the business application system.

	Code	Name
	0022	Information Source, Information Receiver, Subscriber, Dependent