A draft version of X12N's version 005010 276/277 Health Care Claim
Status Request and Response Implementation Guide, 005010X212, is now
available for public review and comment as a key step in its X12 Type 3
Technical Report (TR3) publication process.
The public comment period for this guide commenced on 20 January 2006
and will close on Monday, 6 March 2006, at 5:00 pm Eastern time.
The purpose of this 276/277 Implementation Guide is to define the
standardized data requirements for requesting claim status and returning
a response by
- using an X12 276 transaction to request the status of health care
claim(s) within a payer's adjudication process, and
- payer's using X12's 277 transaction to respond with the current
system status of those requested claims.
This is X12's only unconstrained public comment period. The authors of
this guide will consider all comments during and following the public
comment period. For a complete understanding of changes being suggested
and/or made to this guide, reviewers should monitor the on-line
conference during the public comment period and consider all author
responses prior to the Informational Forum. Official authoring work
group responses will be posted to the on-line conference at least 15
days prior to the Informational Forum.
An announcement of the Informational Forum will be made later. The
Informational Forum, held during an X12 Trimester Meeting, probably the
one during the first full week of June, 2006, [see
http://x12.org/x12org/meetings/x12trimt/index.cfm ], is the final X12
opportunity to comment: but only on modifications based on the received
public comments. After that, the guide is finalized for movement
through the Insurance Subcommittee (X12N) and X12 publication approval
processes.
The draft implementation guide is available for free download at:
http://www.wpc-edi.com/products/publications/x212 . Comments on the
draft can be submitted by anybody -- X12 member or not -- via the
on-line conference at:
http://www.wpc-edi.com/conferences/tg2/implementationguides .
The Health Care Claim Status Request and Response Implementation Guide,
005010X212, is a newer version, 005010, of the ones of the same title
presently adopted under HIPAA, 004010 and 004010A1. The present plan is
to propose the finalized version of this draft guide, modified based on
any public comments, as a new HIPAA standard.
Participation in the public comment period for this guide is open to
all who may be interested; whether or not members of Accredited
Standards Committee X12. Please participate -- this is the highest
leverage opportunity for anybody outside of the authors to impact this
document.
Dave Feinberg
Co-chair, HIPAA Implementation Work Group
Insurance Subcommittee (X12N)
Accredited Standards Committee X12
Rensis Corporation [A Consulting Company]
206-617-1717
DAFeinberg@...