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Optum Announcement Update: Medicare HETS2025-1 System Release April 5, 2025

Scheduled for Apr 5, 09:00 - 13:00 EDT

Scheduled

This message is intended for Clearance Patient Access, Clearance EDI, and AhiQA customers.

Update: CMS announces the scheduled installation of the HETS2025-1 release. The release is scheduled to be installed beginning Saturday, April 5, 2025, 9:00 a.m. ET. The HETS 270/271 system will remain available during the installation. CMS estimates that the installation will be completed and verified by Saturday, April 5, 2025, 1:00 p.m. ET. Please note that this installation will not cause an outage to the Medicare HETS 270/271 eligibility system however, submitters may notice minor performance or connectivity issues during the installation.

The HETS2025-1 system release will introduce changes to the HETS 270 request and the HETS 271 response. HETS 270/271 Submitters MUST act and modify your 270 request to continue receiving all available eligibility information.
HETS 270/271 Submitters should carefully review the linked documentation (below) to prepare for this release.

HETS2025-1 Release Summary: https://www.cms.gov/files/document/hets2025-1-hets-270/271-release-summary.pdf (version 2.0)
HETS2025-1 Companion Guide: https://www.cms.gov/files/document/hets2025-1-hets-270/271-companion-guide-v11-0.pdf (version 11-0)

Action Required: Review updated details on the potential changes that are linked above and distribute as appropriate within your facility.

REF 16966484
Posted Mar 25, 2025 - 10:30 EDT
This scheduled maintenance affects: Medical Network Services (eligibility, enrollment and clearinghouse) (Real-time eligibility transactions) and Revenue Cycle Management (AhiQA, Clearance Patient Access Suite).