Announcing an Informational Forum for Four 837s, Health Care Claim: Professional (007030X323), Health Care Claim: Institutional (007030X324), Health Care Claim: Dental (007030X325), Health Care Service: Data Reporting (007030X326)

X12 will conduct an informational forum related to the above implementation guides during the upcoming Standing Meeting. The informational forum will be held on Tuesday, October 2, 2018 at 2:00 PM ET.

8/31/2018

The Health Care Claim: Professional Implementation Guide describes the use of the X12 Health Care Claim (837) transaction set to submit and transfer professional claims and encounters to primary, secondary, and subsequent payers.

The Health Care Claim: Institutional Implementation Guide describes the use of the X12 Health Care Claim (837) transaction set to submit and transfer institutional claims and encounters to primary, secondary, and subsequent payers.

The Health Care Claim: Dental Implementation Guide describes the use of the X12 Health Care Claim (837) transaction set to submit and transfer dental claims and encounters to primary, secondary, and subsequent payers.

The Health Care Service: Data Reporting Implementation Guide describes the use of the X12 Health Care Claim (837) transaction set for the following business usages:

  • Reporting health care service data for use in health data statistical analysis from provider data
  • Reporting health care service data to satisfy governmental mandates necessary to regulate the health care industry
  • Reporting health care service data to measure utilization rates

These implementation guides were developed by X12’s Insurance Subcommittee and were recently the subject of public review. The public review comments and associated work group responses will be reviewed at the informational forum. This is the final opportunity for public discussion of the comments and any resulting revisions.

The draft revisions, submitted comments, and associated responses are available at http://forums.x12.org until the conclusion of the informational forum. The draft is provided for public review and cannot be used for any other purpose without permission from X12. Responses to all comments will be posted no later than fifteen (15) days prior to the informational forum.

Individuals who will not be onsite at the Standing Meeting may participate in this informational forum virtually. To participate virtually, register for the Standing Meeting here by September 14, 2018, select the option for participating virtually, then select X12N – Informational Forums.

Questions may be directed to info@x12.org.