X12's Insurance Subcommittee (X12N) has revised the schedule for public review and comment periods related to the 007030 counterparts to the HIPAA-adopted transactions and related Type 3 Technical Reports (TR3s) as follows:
The TR3s associated with HIPAA covered transactions are denoted with an asterisk.
Cycle 1: September 1 through October 31, 2016
Cycle 2: October 1 through November 30, 2016
- 007030X334 Payroll Deducted and Other Group Premium Payment for Insurance Products (820)*
- 007030X345 Health Insurance Exchange Related Payments (820)
- 007030X333 Benefit Enrollment and Maintenance (834)*
- 007030X346 Health Insurance Exchange: Enrollment (834)
Cycle 3: November 1, 2016 through January 30, 2017
- 007030X329 Health Care Claim Status Request and Response (276/277)*
- 007030X330 Health Care Claim Acknowledgment (277CA)
- 007030X331 Health Care Claim Pending Status Information (277P)
- 007030X335 Implementation Acknowledgment for Health Care Insurance (999)
Cycle 4: February 1 through June 1, 2017
- 007030X322 Health Care Claim Payment/Advice (835)*
Cycle 4's review period has been extended through June 1, 2017, allowing for additional review and comment.
- 007030X323 Health Care Claim: Professional (837P)*
- 007030X324 Health Care Claim: Institutional (837I)*
- 007030X325 Health Care Claim: Dental (837D)*
- 007030X326 Health Care Service: Data Reporting (837R)
Cycle 5 has been postponed, new start and end dates will be published when available.
- 007030X332 Health Care Eligibility/Benefit Inquiry and Information Response (270/271)*
Cycle 6 has been postponed, new start and end dates will be published when available.
- 007030X327 Health Care Services Review Inquiry and Response (278)
- 007030X328 Health Care Services Review - Notification and Acknowledgment (278)
- 007030X342 Health Care Services Request for Review and Response (278)*
Cycle 7 has been postponed, new start and end dates will be published when available.
- 007030X321 Application Reporting for Insurance (824)
- 007030X340 Health Care Claim Request for Additional Information (277RFI)
- 007030X341 Additional Information to Support a Health Care Claim or Encounter (275)
- 007030X343 Additional Information to Support a Health Care Services Review (275)
Cycle 8 has been eliminated, a new version of the Health Care Fee Schedule (832) will not be published at this time.
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