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

The Health Care Claim Payment/Advice (835) Implementation Guide (007030X322) is available for public review. The review period will close December 31, 2016 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.

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 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 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.

About X12

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.