X12 Public Review Periods for X12N 7030™ Technical Reports

Last Updated on 8/15/2019

X12's Insurance Subcommittee (X12N) is currently developing a set of 007030 TR3s. As a part of that process, each TR3 is presented for one or more public review and comment periods. The information below is about those public review and comment periods. Some of these TR3s are 007030 counterparts to the HIPAA-adopted transactions, those TR3s are denoted with an asterisk in the lists below.

The information shown below has been updated to reflect the most current information available at this time.

A number of implementation guides will be posted for public review over the next few months, for example review of several guides related to transmission of health care attachments will begin on September 1, 2019 and review of the 837 health care claim guides on 10/1. For more details, see the information posted on the Public Review Pending slider.

Published

  • 007030X333 Benefit Enrollment and Maintenance (834)*
  • 007030X346 Health Insurance Exchange: Enrollment (834)

Public Review Complete, Finalization in Process

  • 007030X322 Health Care Claim Payment/Advice (835)*
    • A final informational forum is planned for 8/6/19
    • Publication is expected in 2019
  • 007030X331 Health Care Claim Pending Status Information (277P)
    • The informational forum was conducted on 1/23/18
  • 007030X345 Health Insurance Exchange Related Payments (820)
    • Publication is expected in 2019

Public Review In-Process

  • None

Public Review Pending

  • 007030X327 Health Care Services Review Inquiry and Response (278)
    • A second public review is expected in Q4 of 2019
    • Publication is expected in Q1 2020
  • 007030X328 Health Care Services Review - Notification and Acknowledgment (278)
    • A second public review is expected in Q4 of 2019
    • Publication is expected in Q1 2020
  • 007030X342 Health Care Services Request for Review and Response (278)*
    • A second public review is expected in Q4 of 2019
    • Publication is expected in Q1 2020
  • 007030X323 Health Care Claim: Professional (837P)*
    • A second public review is expected to run from 10/1/19 to 11/1/19
  • 007030X324 Health Care Claim: Institutional (837I)*
    • A second public review is expected to run from 10/1/19 to 11/1/19
  • 007030X325 Health Care Claim: Dental (837D)*
    • A second public review is expected to run from 10/1/19 to 11/1/19
  • 007030X326 Health Care Service: Data Reporting (837R)
    • A second public review is expected to run from 10/1/19 to 11/1/19
  • 007030X329 Health Care Claim Status Request and Response (276/277)*
    • A second public review is expected in Q3 of 2019
  • 007030X330 Health Care Claim Acknowledgment (277CA)
    • A second public review is expected in Q3 of 2019
  • 07030X334 Payroll Deducted and Other Group Premium Payment for Insurance Products (820)*
    • A final public review is planned for 10/1/19 to 10/15/19
    • Publication is expected in 2019
  • 007030X335 Implementation Acknowledgment for Health Care Insurance (999)
    • An informational forum is pending, no estimated date as of 8/1/19
  • 007030X332 Health Care Eligibility/Benefit Inquiry and Information Response (270/271)*
    • An informational forum is planned for 9/16/19
    • Another public review is expected in Q4 of 2020
  • 007030X347 Code Value Usage in Eligibility Benefit Inquiry and Subsequent Response
    • An informational forum is planned for 9/16/19
    • Another public review is expected in Q4 of 2020
  • 007030X340 Health Care Claim Request for Additional Information (277)
    • A public review is planned for 9/1/19 to 11/1/19
  • 007030X341 Additional Info to Support a Health Care Claim or Encounter (275)
    • A public review is planned for 9/1/19 to 11/1/19
  • 007030X343 Additional Info to Support a Health Care Services Review (275)
    • A public review is planned for 9/1/19 to 11/1/19