Fw: Public Review Period for X12N Implementation Guide X164

[David A. Feinberg, C.D.P.]

Following is a message from one of  X12N's Property and Casualty Insurance work groups announcing a public comment period for a new Implementation Guide.  This is not presently a HIPAA Implementation Guide, but the functions specified by this Guide are related to communicating health care information.   This is also not the HIPAA Health Care Claim Request for Additional Information (i.e., Claims Attachment) X104 Implementation Guide! Participation in the announced review is open to all who may be interested.  Instructions on how to participate are included in the message below.  Please participate if you are able.                           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 -----   Announcing a Public Review Period for 277 Request for Information in Support of a Disability Claim Implementation Guide (004050X164) The ASC X12N Request for Information in Support of a Disability Claim (277) Implementation Guide (004050X164) is now available for industry review. This guide has been developed by X12N TG1 WG3, which is the Workers' Compensation/Disability work group within the Property and Casualty 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: �       Request that existing medical information related to a claim for disability benefits or workers' compensation benefits be sent from an information source, such as a medical provider, to a payer or payer's agent, such as a disability determination organization, for the purpose of supporting a claim for disability benefits or workers' compensation benefits or other related determinations. �       Request that a medical provider perform a service and transmit reports of that service to an information receiver, such as a payer or disability determination organization, for the purpose of supporting a claim for disability benefits or workers' compensation benefits or other related determinations. �       Request further information or report about the status of a previous request for medical information and reports in support of a Disability or Workers' Compensation claim. The guide was developed based on existing request formats supplied by industry representatives.  The existing request formats included both proprietary electronic request formats and paper formats provided by disability determination services.  Disability carriers were asked to comment upon the early drafts of the implementation guide and to provide any additional data requirements. The guide is based on version 004050 of the ASC X12 family of standards. The public review period will commence July 8, 2002 and will close on August 30, 2002. The authors will review and discuss any and all comments following the public review period. Official work group responses will be sent to the individual commenter who submitted the comment and will be posted to the on-line conference. All work group responses will be posted at least 15 days prior to the corresponding Informational Forum. This is the only public review period. For a complete understanding of changes being made to the guide, reviewers should monitor the on-line conference during the public review period and review all author responses prior to the Informational Forum. Watch for the announcement of the corresponding Informational Forum. The Information Forum is the final opportunity to comment on modifications based on the public review period comments. The draft implementation guide is available for download at: http://www.wpc-edi.com/property.asp Comments on the draft instructions can be submitted via the on-line conference at: http://www.wpc-edi.com/conferences/p-c.html - John St.George   St. George Consulting   [EMAIL PROTECTED]   (603)523-7903 ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ===================================================== The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited.