Michelle,
There is no recent change in status of X12N's version 004050
Implementation Guides that are evolutions from those adopted under
HIPAA. At this writing, there is high hope they will be approved for
publication at the next X12 Trimester Meeting in San Diego the week
after next (http://www.x12.org/x12org/meetings/x12trimt). Also at this
writing, no formal or official discussions have yet begun as to whether
they should even be considered for adoption under HIPAA.
Dave Feinberg
Rensis Corporation [A Consulting Company]
206-617-1717
[EMAIL PROTECTED]
----- Original Message -----
From: "Michelle Butler-Gorman" <[EMAIL PROTECTED]>
To: "WEDI SNIP Transactions Workgroup List"
<[EMAIL PROTECTED]>
Sent: Monday, September 15, 2003 10:05 AM
Subject: FW: Announcement: Public Review Period for 004050 Insurance
Implementation Guides
Transactions ListServ Members:
Has their been any update published regarding the timeline for the 4050
version of the transactions? Just curious when we might expect to
implement
this?
Please advise.
Thank you.
Michelle
>-----Original Message-----
>From: David A. Feinberg, C.D.P. [mailto:[EMAIL PROTECTED]
>Sent: Monday, December 02, 2002 8:24 PM
>To: WEDI SNIP Transactions Workgroup List
>Subject: Fw: Announcement: Public Review Period for 004050 Insurance
>Implementation Guides
>
>
>Following is a message from the chair of X12N announcing public
>comment periods for nine new X12N version 004050 Implementation
>Guides. These Implementation Guides represent evolutions from their
>version 004010 counterparts which are currently adopted under HIPAA.
>
>The version 004050 Implementation Guides may or may not be considered
>for adoption under HIPAA; no official discussions on this option have
>yet commenced. A factor in any such discussions will be the comments
>received during the next thirty days.
>
>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 -----
>From: [EMAIL PROTECTED]
>Sent: Monday, December 02, 2002 3:28 PM
>Subject: Announcement: Public Review Period for 004050 Insurance
>Implementation Guides
>
>
>Announcing Public Review Periods for Nine (9) Insurance Implementation
>Guides
>
>The Implementation Guides specified below along with their purpose,
>are now available for industry review. These guides were developed by
>X12N/TG2, which is the Health Care task group of the Insurance
>Subcommittee of X12. X12 is an Accredited Standards Committee (ASC)
>under ANSI (American National Standards Institute).
>
>835, Health Care Claim Payment/Advice (004050X124)
>� 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
>
>834, Benefit Enrollment and Maintenance (004050X125)
>� Transfer enrollment information from the sponsor of insurance
> coverage, benefits, or policy to a payer.
>
>820, Payroll Deducted and Other Group Premium Payment for Insurance
>Products (004050X137)
>� Transmit payroll deducted premiums for a wide variety of
> insurance products, to include life, health, property and
> casualty, and disability.
>
>270/271, Health Care Eligibility/Benefit Inquiry and Information
>Response (004050X138)
>� Determine if an Information Source organization, such as an
> insurance company, has a particular subscriber or dependent
> on file
>� Determine the details of health care eligibility and/or benefit
> information
>
>276/277, Health Care Claim Status Request and Response (004050X139)
>� Request the status of health care claim(s) and respond with
> information regarding the specified claim(s).
>
>278/278, Health Care Services Request for Review and Response
>(004050X140)
>� Health care admission certificate requests and responses
>� Referral requests and responses
>� Health care services certification requests and responses
>� Extend certification requests and responses
>� Certification appeal requests and responses
>
>837, Health Care Claim: Institutional (004050X141)
>� Submit and transfer institutional claims and encounters from
> health care providers to health care payers
>
>837, Health Care Claim: Dental (004050X142)
>� Submit and transfer dental claims and encounters from health
> care providers to health care payers
>
>837, Health Care Claim: Professional (004050X143)
>� Submit and transfer professional claims and encounters from
> health care providers to health care payers and between payers
>
>
>All guides are based on version 004050 of the ASC X12 family of
>standards.
>
>The public review periods will commence at 8:00 P.M. EST on December
>2, 2002 and will close at 8:00 P.M. EST on January 1, 2003.
>
>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 Forums.
>The Information Forum is the final opportunity to comment on
>modifications based on the public review period comments.
>
>The draft implementation guides are available for download at:
>www.wpc-edi.com/healthcare.asp
>
>Comments on the draft Implementation Guides can be submitted via the
>on-line conferences:
>www.wpc-edi.com/conferences/healthcare.html
>
>The draft implementation guides are also available via the on-line
>conferences.
>
---
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