Two implementation guides will be available for another public review beginning April 1, 2018. Each review period will close May 15, 2018 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 following implementations guides will be available for public review during this period.
The Payroll Deducted and Other Group Premium Payment for Insurance Products Implementation Guide (007030X334) which describes the use of the X12 Payment Order/Remittance Advice (820) transaction set 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
The Health Insurance Exchange Related Payment Implementation Guide (007030X345) which describes the use of the 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
The draft implementation guides will be available in on-line forums 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 drafts via the on-line forum. Instructions for reviewing the revision pages and submitting comments are posted on the forums page.
The previously posted implementation guides are also available for reference during this Public Review Period at reviewer.x12.org, listed under Cycle 1.
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.
Questions may be directed to firstname.lastname@example.org.