Announcing Public Review Periods for 4 Draft Implementation Guides
The following four implementation guides are available for public review beginning October 1, 2016. Each review period will close November 30, 2016 at 8:00 PM, Eastern Time. These guides have been developed by X12's Insurance subcommittee based on version 007030 of the X12 Standard. Following these review periods, X12 will conduct corresponding Informational Forums. The Informational Forum is the final opportunity for public discussion of the review comments and resulting revisions.
- The Health Care Claim Status Request and Response 276/277 (007030X329)
- The Health Care Claim Acknowledgment 277 (007030X330)
- The Health Care Claim Pending Status Information 277 (007030X331)
- The Implementation Acknowledgment for Health Care Insurance 999 (007030X335)
The Health Care Claim Status Request and Response (276/277) Implementation Guide (007030X329) describes the use of the ASC X12 Health Care Claim Status Request (276) transaction set and the ASC X12 Health Care Information Status Notification (277) transaction set to request the status of health care claim(s) and respond with information regarding the specified claim(s).
The Health Care Claim Acknowledgment (277) Implementation Guide (007030X330) describes the use of the ASC X12 Health Care Information Status Notification (277) transaction set to acknowledge receipt of electronically submitted claim data and indicate the data's acceptance, rejection or forwarding to another entity.
The Health Care Claim Pending Status Information (277) Implementation Guide (007030X331) describes the use of the ASC X12 Health Care Information Status Notification (277) transaction set to provide claim status information on claims pending in the payer's adjudication system without requiring health care provider solicitation.
The Implementation Acknowledgment for Health Care Claim Insurance (999) Implementation Guide (007030X335) provides standardized data content and structure to users of the ASC X12 999 Implementation Acknowledgment 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.
The draft implementation guides are available in on-line forums at http://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 drafts 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 forums during the public review period and prior to the Informational Forums. Watch for the announcement of the corresponding Informational Forums.
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X12, chartered by the American National Standards Institute for more than 30 years, develops and maintains EDI standards and XML schemas which drive business processes globally.