Announcing a Public Review Period for the 835 Health Care Claim Payment/Advice (007030X322)

The Health Care Claim Payment/Advice (835) Implementation Guide (007030X322) will be available for public review beginning March 11, 2019. The review period will close April 10, 2019 at 8:00 PM, Eastern Time. This guide has been developed by X12's Insurance subcommittee based on version 007030 of the X12 Standard. Following this review period, X12 will conduct a corresponding Informational Forum. The Informational Forum is the final opportunity for public discussion of the review comments and resulting revisions.

3/11/2019

The Health Care Claim Payment/Advice Implementation Guide describes the use of the X12 Health Care Claim Payment/Advice (835) transaction set for the following business usages:

  • Make payment on a health care claim
  • Send an Explanation of Benefits (EOB) remittance advice
  • Make payment and send an EOB in the same transaction

The draft implementation guide will be available in an on-line forum at forums.x12.org. The draft information is provided for public review and cannot be used for any other purpose without permission from X12. Reviewers may submit comments on the draft via the on-line forum. Instructions for reviewing the pages and submitting comments are posted on the forums page.

Interested parties may monitor all submitted comments and the associated responses via the on-line forum during the public review period and prior to the Informational Forum. Watch for the announcement of the corresponding Informational Forum.

Questions may be directed to info@x12.org.