X12 Technical Reports - Type 3
Click on a subcommittee name to toggle the display of all type 3 technical reports for that subcommittee sorted by technical report name.
After displaying the list for each subcommittee, the first column is the standard version of the latest published technical report. The second column is an X12-assigned identifier. The third column is the technical report's name. Click on a technical report name to toggle the display of the purpose and scope of that technical report.
005010
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X230
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Functional Acknowledgment for Health Care Insurance
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The purpose of this implementation guide is to provide standardized data content and structure to users of the ASC X12 997 transaction set. This implementation guide is intended to enable a receiver of an X12 transaction set to report syntactical errors against the X12 standard, or to acknowledge receipt of an error-free transaction set.
This 997 implementation guide can NOT be used for responding to any implementation guideline (TR3).
This 997 implementation guide can NOT be used for any application level validations.
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006020
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X290
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Implementation Acknowledgment for Health Care Insurance
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Implementation Acknowledgment for Health Care Insurance is to provide standardized data content and structure to users of the ASC X12 999 transaction set for the health care industry. This 999 is not limited to only Implementation Guide (IG) errors. It can report standard syntax errors, as well as IG errors.
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004010
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X285
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Financial Return
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With the increased usage of electronic payments via ACH, future guidance on how the reporting of returned ACH payments via the 827 Return Notice needs to be provided.
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006020
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X304
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Health Care Fee Schedule
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The Health Care Fee Schedule Implementation Guide describes the use of the Price/Sales Catalog (832) transaction set for the following business use:
- Send a health care fee schedule from a health plan to a provider
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006020
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X314
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Additional Information to Support a Health Care Claim or Encounter
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The Additional Information to Support a Health Care Claim or Encounter Implementation Guide describes the use of the ASC X12 Patient Information (275) transaction set for the following business usage:
- To assist those who send additional supporting information or who receive additional supporting information to a health care claim or encounter.
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006020
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X316
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Additional Information to Support a Health Care Services Review
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The Additional Information to Support a Health Care Claim or Encounter Implementation Guide describes the use of the ASC X12 Patient Information (275) transaction set for the following business usage:
- To assist those who send additional supporting information or who receive additional supporting information to a health care claim services review.
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003072
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X078
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Annuity Account Value Reporting
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The Annuity Account Activity Implementation Guide describes the use of the ANSI ASC X12 Annuity Activity (268) transaction set for the following business usage:
- Provide account activity values from insurers to distributors for statement consolidation and on-line updates.
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003072
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X087
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Annuity Account Value Reporting for Clearinghouse Trading
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The Annuity Account Activity for Clearinghouse Trading Implementation Guide describes the use of the ANSI ASC X12 Annuity Activity (268) transaction set for the following business usage:
- Provide account activity values from insurers to distributors for statement consolidation and on-line updates in a clearinghouse environment.
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003070
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X079
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Annuity Application
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The Annuity Application Implementation Guide describes the use of the ANSI ASC X12 Individual Life, Annuity and Disability Application (267) transaction set for the following business usage:
- Provide the required information, such as applicant name, address, beneficiary, and product name of annuity plan, to apply to purchase an annuity product
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003070
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X080
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Annuity Periodic Compensation
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The Annuity Periodic Compensation Implementation Guide describes the use of the ANSI ASC X12 Annuity Periodic Compensation (256) transaction set for the following business usages:
- Provide transaction-based compensation detail
- Provide asset or gross premium compensation detail at a point in time commission
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003070
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X089
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Annuity Periodic Compensation for Clearinghouse Trading
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The Annuity Periodic Compensation for Clearinghouse Trading Implementation Guide describes the use of the ANSI ASC X12 Annuity Periodic Compensation (256) transaction set for the following business usages in a clearinghouse environment:
- Provide transaction-based compensation detail
- Provide asset or gross premium compensation detail at a point in time commission
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006020
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X257
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Application Reporting For Insurance
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The Application Reporting for Insurance Implementation Guide describes the use of the ANSI ASC X12 Application Advice (824) transaction set for the following business usages:
- To report errors that are outside of the scope of the ANSI ASC X12 997 or 999 error reporting
- To report the results of an application system's data content edits of transaction sets.
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003070
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X102
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Automobile Glass Invoice
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The Automobile Glass Invoice Implementation Guide describes the use of the ANSI ASC X12 Consolidated Service Invoice/Statement (811) transaction set for the following business usage:
- Send billing information for automobile glass from vendors to insurance companies
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004010
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X108
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Automobile Glass Loss Assignment
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The Automobile Glass Loss Assignment Implementation Guide describes the use of the ANSI ASC X12 Property & Casualty Loss Notification (272) transaction set for the following business usage:
- For insurers to provide electronic work assignments to automobile glass vendors
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004010
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X135
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Automobile Liability Insurance Reporting
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The Automobile Liability Insurance Reporting Implementation Guide describes the use of the ANSI ASC X12 Consolidated Service Invoice/Statement (811) transaction set for the following business usage:
- Notification to state agencies within the U.S. of insurance coverage on a motor vehicle
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004010
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X133
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Automobile Property Record Change Notification
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The Automobile Property Record Change Notification Implementation Guide describes the use of the ANSI ASC X12 Mortgage Record Change (266) transaction set and the ANSI ASC X12 Application Advice (824) transaction set for the following business usages:
- Notification of changes in financial interest on auto property records
- Notification of auto property record change errors
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004020
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X114
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Automobile Salvage Assignment and Response
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The Automobile Salvage Assignment and Response Implementation Guide describes the use of the ANSI ASC X12 Property & Casualty Loss Notification (272) transaction set for the following business usage:
- Provide administrative detail information for the assignment and acknowledgment of the receipt of the assignment to dispose of the salvage vehicle
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004020
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X101
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Automobile Subrogation Demand and Response
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The Automobile Subrogation Demand and Response Implementation Guide describes the use of the ANSI ASC X12 Property and Casualty Loss Notification (272) transaction set for the following business usage:
- Transmit subrogation demands and responses between insurers and third party administrators.
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005010
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X220
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Benefit Enrollment and Maintenance
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The Health Care Benefits Enrollment and Maintenance Implementation Guide describes the use of the ANSI ASC X12 Benefit Enrollment Maintenance (834) transaction set for the following business usage:
- Transfer enrollment information from the sponsor of insurance coverage, benefits, or policy to a payer.
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004010
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X047
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Consumer Service Provider Insurance Billing
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The Consumer Service Provider Insurance Billing and Application Advice Implementation Guide describes the use of the ANSI ASC X12 Consolidated Service Invoice/Statement (811) transaction set and the ANSI ASC X12 Application Advice (824) Transaction Set for the following business usages:
- To provide premium billing information on property and casualty insurance coverage to consumer scervice providers (CSP)
- To provide preminum billing information on life insurance coverage and annuity contracts to CSPs
- To communicate errors or acceptance on premium billing information from the CSP to the insurance company
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004010
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X086
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Doctor's First Report of Injury
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The Doctor's First Report of Injury Implementation Guide describes the use of the ANSI ASC X12 Report of Illness, Injury or Incident (148) transaction set for the following business usage:
- To satisfy medical providers jurisdictional reporting requirements
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005010
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X187
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Health Care Benefit Coordination Verification Request and Response
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The Health Care Coordination of Benefits Request and Response Implementation Guide describes the use of the ANSI ASC X12 Health Benefit Coordination Verification (269) transaction set for the following business usage:
- Payer to payer coordination of benefits verification request and response
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005010
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X214
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Health Care Claim Acknowledgment
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The Health Care Claim Acknowledgment Implementation Guide describes the use of the ANSI ASC X12 Health Care Information Status Notification (277) transaction set for the following business usage:
- Provide claim status information from the payer without health care provider solicitation. For example, acknowledgment of a health care claim transmission.
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005010
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X221
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Health Care Claim Payment/Advice
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The Health Care Claim Payment/Advice Implementation Guide describes the use of the ANSI ASC 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
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005010
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X228
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Health Care Claim Pending Status Information
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The Health Care Claim Pending Status Information Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim Status Notification (277) transaction set for the following business usage:
- Provide claim status information on claims pending in the payer's adjudication system without requiring health care provider solicitation.
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006020
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X313
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Health Care Claim Request for Additional Information
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The Health Care Claim Request for Additional Information Implementation Guide describes the use of the ASC X12 Health Care Claim Status Notification (277) transaction set to request additional information to support a health care claim or encounter.
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005010
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X212
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Health Care Claim Status Request and Response
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The Health Care Claim Status Request and Response Implementation Guide describes the use of the ANSI ASC X12.316 Health Care Claim Status Request (276) transaction set and the ANSI ASC X12.317 Health Care Claim Status Notification (277) transaction set for the following business usage:
- Request the status of health care claim(s) and respond with information regarding the specified claim(s).
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005010
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X224
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Health Care Claim: Dental
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The Health Care Claim: Dental Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set for the following business usage:
- Submit and transfer dental claims and encounters from health care providers to health care payers
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005010
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X223
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Health Care Claim: Institutional
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The Health Care Claim: Institutional Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set for the following business usage:
- Submit and transfer institutional claims and encounters from health care providers to health care payers and between payers
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005010
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X222
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Health Care Claim: Professional
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The Health Care Claim: Professional Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set for the following business usage:
- Submit and transfer professional claims and encounters from health care providers to health care payers and between payers
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005010
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X279
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Health Care Eligibility/Benefit Inquiry and Information Response
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The Health Care Eligibility/Benefit Inquiry and Information Response Implementation Guide describes the use of the Eligibility, Coverage or Benefit Inquiry (270) Version/Release 005010 transaction set and the Eligibility, Coverage, or Benefit Information (271) Version/Release 005010 transaction set for the following business usages:
- Determine if an Information Source organization, such as an insurance company, has a particular subscriber or dependent on file
- Determine the details of health care eligibility and/or benefit information
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003070
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X070
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Health Care Payer Unsolicited Claim Status
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The Health Care Payer Unsolicited Claim Status Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim Status Notification (277) transaction set for the following business usage:
- Provide claim status information from the payer without health care provider solicitation
Examples of these types of claim status notifications include acknowledgments of claim transmission.
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005010
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X292
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Health Care Predetermination: Institutional
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The Health Care Predetermination: Institutional Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set for the submission and transfer of institutional predeterminations to health care payers and clearinghouses.
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005010
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X291
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Health Care Predetermination: Professional
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The Health Care Predetermination: Professional Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set for the submission and transfer of professional predeterminations to health care payers and clearinghouses.
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004050
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X109
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Health Care Provider Directory
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The Health Care Provider Directory Implementation Guide describes the use of the ANSI ASC X12 Provider Information (274) transaction set, version 004050 for the following business usage:
- Transmit provider directory information
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004050
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X253
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Health Care Provider Information
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The Health Care Provider Information Implementation Guide describes the use of the Provider Information (274) Version/Release 4050 Transaction Set for the following business usages:
- Request and respond to requests for enumeration and/or participation in a network, as well as to update provider information
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005010
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X225
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Health Care Service: Data Reporting
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The Health Care Service: Data Reporting Implementation Guide describes the use of the ANSI ASC 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
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005010
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X217
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Health Care Services Request for Review and Response
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The Health Care Services Review Request and Response Implementation Guide describes the use of the ANSI ASC X12 Health Care Services Review Information (278) Version/Release 005010 transaction set for the following business usages:
- Health care admission certificate requests and responses
Referral requests and responses
- Health care services certification requests and responses
- Extend certification requests and responses
- Certification appeal requests and responses
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006020
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X315
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Health Care Services Request for Review and Response
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The Health Care Services Review Request and Response Implementation Guide describes the use of the ASC X12 Health Care Services Review Information (278) transaction set for the following business usages:
- Health care admission certificate requests and responses
- Referral requests and responses
- Health care services certification requests and responses
- Extend certification requests and responses
- Certification appeal requests and responses
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005010
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X215
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Health Care Services Review Inquiry/Response
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The Health Care Services Review Inquiry/Response Implementation Guide describes the use of the ANSI ASC X12 Health Care Services Review Information (278) transaction set for the following business usages:
- Make inquiries to utilization management organizations for information on previously processed health care services
- Send response(s) to inquiry(ies) on previously processed health care services
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005010
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X216
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Health Care Services Review - Notification
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The Health Care Services Review - Notification Implementation Guide describes the use of the ANSI ASC X12 Health Care Services Review Information (278) Version/Release 005010 transaction set for the following business usage:
Notification of interested parties concerning events related to a health care services review such as:
- Patient arrival notice
- Patient discharge notice
- Patient transfer notice
- Notification of certification to primary care physcian (PCP), utilization management organization (UMO), or other service providers
- Certification notice change
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005010
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X306
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Health Insurance Exchange Related Payments
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The Health Insurance Exchange Related Payment Technical Report Type 3 describes the use of the ASC X12 Payment Order/Remittance Advice (820) transaction set for:
- the payment of premium
- the advance payment of premium tax credits and cost-sharing reduction amount
- annual reconciliations
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005010
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X307
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Health Insurance Exchange: Enrollment
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The Health Insurance Exchange: Enrollment Technical Report Type 3 describes the use of the ASC X12 Health Care Enrollment (834) transaction set for:
- the transfer of enrollment information between Health Insurance Exchanges and Issuers.
- the reconciliation of enrollment information between Health Insurance Exchanges and Issuers.
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004010
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X161
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Implementation Guide and Application Reporting
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The Implementation Guide Reporting Implementation Guide describes the use of the ANSI ASC X12 Application Advice (824) transaction set for the following business usages:
- To report errors that are outside of the scope of the ANSI ASC X12 997 error reporting
- To acknowledge receipt of an error-free transaction
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004050
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X166
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Implementation Guide Reporting
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The Implementation Guide Reporting Implementation Guide describes the use of the ANSI ASC X12 Application Advice (824) transaction set for the following business usages:
- To report errors that are outside of the scope of the ANSI ASC X12 997 error reporting
- To acknowledge receipt of an error-free transaction
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004010
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X057
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Inspection Report Results for Insurance Underwriting Requirements
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The Inspection Report Results for Insurance Underwriting Requirements Implementation Guide describes the use of the ANSI ASC X12 Insurance Underwriting Requirements Reporting (186) transaction set for the following business usage:
- Report the results of inspection reports to satisfy insurance underwriting requirements for individually underwritten life, disability income, and health insurance and property & casualty insurance
Inspection reports include such investigations as credit checks, lifestyle/behavior, and tax history.
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004010
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X126
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Insurance Underwriting Requirement Reporting for Motor Vehicle Records (MVR)
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The Insurance Underwriting Requirement Reporting for Motor Vehicle Records (MVR) Implementation Guide describes the use of the ANSI ASC X12 Insurance Underwriting Requirements Reporting (186) transaction set for the following business usage:
- To report results of MVR to trading partners for the individual underwriting process.
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D.99B
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X145
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Interactive Health Care Claim or Encounter Request and Response
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The Interactive Health Care Claim or Encounter Request and Response Implementation Guide describes the use of the UN/EDIFACT Interactive Health Care Claim (IHCLME) message for the following business usage:
- To support interactive submittal and response of health care claim or encounters for the point of sale environment.
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003070
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X007
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Interactive Health Care Eligibility/Benefit Inquiry and Response
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The Interactive Health Care Eligibility/Benefit Inquiry and Response Implementation Guide describes the use of the EDIFACT IHCEBI message and the EDIFACT IHCEBR message for the following business usages:
- Inquire on an individual's health care eligibility and coverage in an interactive mode (IHCEBI)
- Respond to a request for information on an individual's health care eligibility and coverage in an interactive mode (IHCEBR)
The IHCEBI identifies the patient in question, the insurance subscriber, and the provider or orgainization requesting the information. The IHCEBR provides the plan coverage information, patient/subscriber identifiers, coverage benefits, and third party liability information.
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003070
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X074
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Laboratory Results Report for Insurance Underwriting Requirements
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The Laboratory Results Report for Insurance Underwriting Implementation Guide describes the use of the ANSI ASC X12 Insurance Underwriting Requirements Reporting (186) transaction set for the following business usage:
- Report the results of laboratory testing reports to satisfy insurance underwriting requirements for individually underwritten life, disability income, and health insurance
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004010
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X319
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Mortgage Record Change Notification
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The Mortgage Record Change Notification Implementation Guide describes the use of the ANSI ASC X12 Mortgage Record Change (266) transaction set and the ANSI ASC X12 Application Advice (824) transaction set for the following business usages:
- Notification of mortgage record changes to financial interest entities
- Notification of mortgage record change errors
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004010
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X308
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Mortgagee Notification, Billing, and Payment
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The Mortgage Coverage Notification, Billing, and Payment Implementation Guide describes the use of the ANSI ASC X12 Consolidated Service Invoice/Statement (811) Version/Release 004010 transaction set and the Payment Order/Remittance Advice (820) Version/Release 004010 transaction set for the following business usages:
-Send billing and coverage information from insurance companies to mortgage institutions and their servicing bureaus
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004010
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X134
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Motor Vehicle Insurance Coverage Notification
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The Motor Vehicle Insurance Coverage Notification Implementation Guide describes the use of the ANSI ASC X12 Consolidated Service Invoice/Statement (811) transaction set for the following business usages:
- Notification of insurance coverage for loans on motor vehicles
- Notification of insurance coverage for leases on motor vehicles
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003070
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X105
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Paramedical Results Report for Insurance Underwriting Requirements
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The Paramedical Results Report for Insurance Underwriting Implementation Guide describes the use of the ASC X12 Insurance Underwriting Requirements Reporting (186) transaction set for the following business usage:
- Report the results of paramedical examination testing to satisfy insurance underwriting requirements for individually underwritten life, disability income, and health insurance
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005010
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X218
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Payroll Deducted and Other Group Premium Payment for Insurance Products
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The Payroll Deducted and Other Group Premium Payment for Insurance Products Implementation Guide describes the use of the ANSI ASC X12 Payment Order/Remittance Advice (820) transaction set, version 5010 for the following business usage:
- Transmit payroll deducted premiums for a wide variety of insurance products, to include life, health, property and casualty, and disability.
This guide was also designed for health care premium payments between federal and state governments, government agencies, and private industry.
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005050
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X274
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Personal Health Record Transfer Between Health Plans
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The Personal Health Record Transfer Between Health Plans Implementation Guide describes the use of the ASC X12 Patient Information (275) transaction set for the following business usage:
- To transfer Personal Health Record (PHR) information between different health plans.
The business flows supported by this implementation are the following:
- When an employer or coverage sponsor changes from one health plan to another, the new health plan may request the prior plan to transfer PHR information of those covered individuals
- When an individual changes jobs and elects coverage under a new health plan, they may request the transfer of PHR information for covered individuals. The prior health plan, with the individual's authorization, will transfer the PHR information to the new health plan.
- When an individual or subgroup of individuals changes from one health plan to another, the new health plan may request the prior health plan to transfer the PHR information of those covered individuals.
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005010
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X300
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Post Adjudicated Claims Data Reporting: Dental
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The Post Adjudicated Claims Data Reporting: Dental Implementation Guide describes the use of the ASC X12 Health Care Claim (837) transaction set for reporting health care dental service post adjudicated data:
- to satisfy state and federal reporting requirements such as; Medicare and Medicaid encounters, All Payer Claims Databases, and Health Care Insurance Exchanges
- for use in health data analysis from payer data
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005010
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X299
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Post Adjudicated Claims Data Reporting: Institutional
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The Post Adjudicated Claims Data Reporting: Institutional Implementation Guide describes the use of the ASC X12 Health Care Claim (837) transaction set for reporting health care institutional service post adjudicated data:
- to satisfy state and federal reporting requirements such as; Medicare and Medicaid encounters, All Payer Claims Databases, and Health Care Insurance Exchanges
- for use in health data analysis from payer data
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005010
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X298
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Post Adjudicated Claims Data Reporting: Professional
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The Post Adjudicated Claims Data Reporting: Professional Implementation Guide describes the use of the ASC X12 Health Care Claim (837) transaction set for reporting health care professional service post adjudicated data:
- to satisfy state and federal reporting requirements such as; Medicare and Medicaid encounters, All Payer Claims Databases, and Health Care Insurance Exchanges
- for use in health data analysis from payer data
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004020
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X085
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Premium Audit Request and Return
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The Premium Audit Request and Return Implementation Guide describes the use of the ANSI ASC X12 Premium Audit Request and Return (187) transaction set for the following business usage:
- To support the financial reconciliation of a property & casualty, auditable policy premium paid to actual risk at the expiration of the policy
The insurance company uses the 187 to audit the claims experience of a policy at the time of its expiration or termination.
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007030
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X344
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Premium Payment Grace Period Notification
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The Premium Payment Grace Period Notification Implementation Guide describes the use of the ASC X12 Eligibility, Coverage or Benefit Information (271) transaction set for reporting Health Insurance Exchange (HIX) Premium Payment Grace Period, other (non-HIX) premium payment grace periods, and related information from health plans to providers.
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004010
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X067
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Property and Casualty Medical Bill Report to Regulatory Agencies
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The Property and Casualty Medical Bill Report to Regulatory Agencies Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set for the following business usages:
- Transmit health care claims and billing information from payers, such as insurers and employers, to regulatory agencies to monitor the rendering, billing, and/or payment of health care services related to property and Casualty medical losses.
- Collect data about property and casualty billings for regulatory agencies to perform statistical analysis
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004020
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X118
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Rental Management for Vehicle Replacement Rentals
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The Rental Management for Vehicle Replacement Rentals Implementation Guide describes the use of the ANSI ASC X12 Property and Casualty Loss Notification transaction set and the ANSI ASC X12 Application Advice (824) transaction set for the following business usages:
- Request automobile reservations
- Confirm automobile reservations
- Update automobile reservations
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004020
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X120
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Rental Management Invoicing & Application Advice for Vehicle Replacement Rentals
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The Rental Management Invoicing and Application Advice for Vehicle Replacement Rentals Implementation Guide describes the use of the ANSI ASC X12 Consolidated Service Invoice/Statement (811) transaction set and the ANSI ASC X12 Application Advice (824) for the following business usages:
- To send invoice information from the rental company to the appropriate insurance company for vehicle replacement
- To perform error processing, if required, on the business transaction between the insurer and the rental company
The vehicle rental company uses the 810 to send invoice information, such as the rental charge, to the responsible insurance company for the replacement of a vehicle. The 824 is used to handle error processing that might occur with this electronic business transaction.
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004010
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X119
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Rental Management Remittance Advice for Vehicle Replacement Rentals
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The Rental Management Remittance Advice and Application Advice for Vehicle Replacement Implementation Guide describes the use of the ANSI ASC X12 Payment Order/Remittance Advice (820) transaction set for the following business usage:
- To send payment information from the insurance company to the rental company on rental invoices for vehicle replacement
The insurance company uses the 820 to send payment information to the rental company on the rental invoices for the replacement of a vehicle. The 820 may be included as addenda records with an ACH (CTX) electronic payment transaction originated by the insurance company to the rental company's financial institution. The 820 may be sent separately from the funds as well. The 824 is used to handle error processing.
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004050
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X164
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Request for Medical Information and Reports in Support of a Disability or Workers' Compensation Claim
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The Request for Medical Information and Reports in Support of a Disability or Workers' Compensation Claim Implementation Guide describes the use of the Health Care Information Status Notification (277), Version/Release 004050 Transaction Set for the following business usages:
- Request that existing medical information related to a claim for disability benefits or workers' compensation benefits be sent from an information source, such as a medical provider, to a payer or payer's agent, such as a disability determination organization, for the purpose of supporting a claim for disability benefits or workers' compensation benefits or other related determinations.
- Request that a medical provider perform a service and transmit reports of that service to an information receiver, such as a payer or disability determination organization, for the purpose of supporting a claim for disability benefits or workers' compensation benefits or other related determinations.
- Request further information or report about the status of a previous request for medical information and reports in support of a Disability or Wrokers' Compensation claim.
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004060
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X201
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State Agency Insurance Reporting
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The State Agency Insurance Reporting Implementation Guide (Auto Liability Insurance Reporting and Uniform Financial Responsibility Reporting) describes the use of the ASC X12 Consolidated Service Invoice/Statement (811) transaction set for the following business usage:
- Notification to state agencies in the U.S. of insurance coverage for motor vehicles and certification to state agencies in the U.S. of insurance coverage for an individual.
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003050
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X072
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Uniform Financial Responsibility Reporting (SR22/SR26) for Automobile Insurance
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The Uniform Financial Responsibility Reporting (SR22/SR26) for Automobile Insurance Implementation Guide describes the use of the ANSI ASC X12 Consolidated Service Invoice/Statement (811) transaction set for the following business usage:
- To notify state agencies about future proof of liability insurance (SR22, SR1P, SR23)
With this notification to a state agency, the insurer guarantees that the liability insurance on the automobile(s) will be inforce for a specified period of time and that coverage will be provided until the insurance company files a cancellation notice (SR26) with the state agency.
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004010
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X040
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Unsolicited Health Care Eligibility/Benefit Roster
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The Unsolicited Health Care Eligibility/Benefit Roster Implementation Guide describes the use of the ANSI ASC X12 Eligibility, Coverage or Benefit Information (271) Version/Release 3070 transaction set for the unsolicited request for the following roster types:
- Capitation payment detail
- Membership list
- Plan (coverages)
- Group (employer)
- Provider
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004020
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X075
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Vehicle Damage Loss Attachment
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The Vehicle Damage Loss Attachment Implementation Guide describes the use of the ANSI ASC X12 Specifications/Technical Information (841) transaction set for the following business usage:
- Provide automobile collision industry digital images, such as a photograph of a car in an imaged format
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004020
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X121
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Vehicle Glass Payment/Remittance Advice
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The Vehicle Glass Payment/Remittance Advice Implementation Guide describes the use of the ANSI ASC X12 Payment Order/Remittance Advice (820) transaction set for the following business usage:
- For insurers to send payments/remittance advice information.
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004020
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X113
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Vehicle Total Loss Evaluation
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The Vehicle Total Loss Evaluation Implementation Guide describes the use of the ANSI ASC X12 Vehicle Damage (124) Version/Release 4020 transaction set for the following business usage:
- Provide insurance carriers with information needed to determine the total loss value of a vehicle.
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