X12 Public Comment Period Timeline for X12N 7030™ Technical Reports

X12's Insurance Subcommittee (X12N) has extended the schedule for the next public review and comment periods related to the 007030 counterparts to the HIPAA-adopted transactions and related Type 3 Technical Reports (TR3s).

See the related article.

The public comment period for Cycle 5 commenced on September 1, 2017, and was scheduled to run for 90 days ending on November 30, 2017. Cycle 5 will now run through January 31, 2018. Cycle 5 includes the following TR3s, with HIPAA covered transactions denoted by an asterisk.

  • 007030X327 Health Care Services Review Inquiry and Response (278)
  • 007030X328 Health Care Services Review - Notification and Acknowledgment (278)
  • 007030X342 Health Care Services Request for Review and Response (278)*

The schedule for Cycles 6 and 7 is still pending and will be announced once the dates are confirmed.

X12 Public Review Timeline

The TR3s associated with HIPAA covered transactions are denoted with an asterisk.

Cycle 1: September 1 through October 31, 2016

  • 007030X334 Payroll Deducted and Other Group Premium Payment for Insurance Products (820)*
  • 007030X345 Health Insurance Exchange Related Payments (820)
  • 007030X333 Benefit Enrollment and Maintenance (834)*
  • 007030X346 Health Insurance Exchange: Enrollment (834)
Cycle 2: October 1 through November 30, 2016
  • 007030X329 Health Care Claim Status Request and Response (276/277)*
  • 007030X330 Health Care Claim Acknowledgment (277CA)
  • 007030X331 Health Care Claim Pending Status Information (277P)
  • 007030X335 Implementation Acknowledgment for Health Care Insurance (999)
Cycle 3: November 1, 2016 through January 30, 2017
  • 007030X322 Health Care Claim Payment/Advice (835)*
Cycle 4: February 1 through June 1, 2017
  • 007030X323 Health Care Claim: Professional (837P)*
  • 007030X324 Health Care Claim: Institutional (837I)*
  • 007030X325 Health Care Claim: Dental (837D)*
  • 007030X326 Health Care Service: Data Reporting (837R)
Cycle 5: September 1, 2017 through January 31, 2018
  • 007030X327 Health Care Services Review Inquiry and Response (278)
  • 007030X328 Health Care Services Review - Notification and Acknowledgment (278)
  • 007030X342 Health Care Services Request for Review and Response (278)*
Cycle 6
Cycle 6 has been postponed, new start and end dates will be published when available.
  • 007030X332 Health Care Eligibility/Benefit Inquiry and Information Response (270/271)*
Cycle 7
Cycle 7 has been postponed, new start and end dates will be published when available.
  • 007030X321 Application Reporting for Insurance (824)
  • 007030X340 Health Care Claim Request for Additional Information (277RFI)
  • 007030X341 Additional Information to Support a Health Care Claim or Encounter (275)
  • 007030X343 Additional Information to Support a Health Care Services Review (275)
Cycle 8
Cycle 8 has been eliminated, a new version of the Health Care Fee Schedule (832) will not be published at this time.

Questions may be directed to info@x12.org.