F. Y. I. This is a new industry Implementation Guide. It may or
may not someday become a HIPAA Implementation Guide, but this is one
of the steps followed by X12N in the process of developing all
Implementation Guides. The broadest possible participation in this
Guide's review is always welcomed.
Dave Feinberg
Co-Chair, HIPAA Implementation Work Group
Insurance Subcommittee (X12N)
Accredited Standards Committee X12
Voting Member, HL7 and X12
Rensis Corporation [A Consulting Company]
206-617-1717
[EMAIL PROTECTED]
----- Original Message -----
The ASC X12N, Health Care Provider Information (274) Implementation
Guide (004050X103) is now available for industry review. This guide
has been developed by X12N/TG2/WG15, which is the provider information
work group within the health care task group of the insurance
subcommittee of X12. X12 is an Accredited Standards Committee (ASC)
under ANSI (American National Standards Institute).
The purpose of this guide is to:
Send an application for membership to a health care entity
Send registration information to a health care entity
Send a health care entity's limited response to the health care
provider
The guide was developed using existing applications supplied by
industry representatives, the proposed data elements from the National
Provider System, and the descriptive information regarding the
proposed implementation (45 CFR Part 142, pp. 25320 - 25357, Federal
Register / Vol. 63, No. 88 / Thursday, May 7, 1998 / Proposed Rules).
Sample applications were received from Medicaid agencies, commercial
insurance companies, the Medicare agency, and vendor software
developers.
The guide is based on version 004050 of the ASC X12 family of
standards.
The draft guide is available for download at:
http://www.wpc-edi.com/HealthCare.asp
and comments can be submitted via the on-line conference at:
http://www.wpc-edi.com/conferences/healthcare.html
An additional guide in development, will capture the comprehensive
data needed for credentialing, as defined broadly by the industry.
X12N / TG2 / WG15: Provider Information
Gail Kocher
Business Staff Analysis Specialist
HIPAA Knowledge Center
Highmark, Inc.
717-760-9166
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