The following X12N version 005010 draft Implementation Guides are
presently available for free download, review, and public comment:
005010X291 Health Care Predetermination: Professional
005010X292 Health Care Predetermination: Institutional.
Public comment on these Implementation Guides is a key step in their X12
Type 3 Technical Report (TR3) publication process.

The public comment period for these guides begins on 23 July 2009 and
will close on Saturday, 22 August 2009, at 5:00 p.m. Eastern time.

The Health Care Predetermination Implementation Guides describe the use
of the ANSI ASC X12 Health Care Claim (837) transaction set for the
submission and transfer of predeterminations to health care payers and
clearinghouses.

The authors especially solicit comments on what is needed to support
predetermination or estimate requests for property and casualty
(including worker's comp) and ambulance and other transport-related
services.

This is X12's only unconstrained public comment period. The authors of
these guides will consider all comments during and following the public
comment period. For a complete understanding of changes being suggested
and/or made to these guides, reviewers should monitor the on-line
conferences during the public comment period and consider all author
responses prior to the Informational Forums. Official authoring work
group responses will be posted to the on-line conferences at least 15
days prior to the Informational Forums.

An announcement of the Informational Forums will be made later. The
Informational Forums, held during an X12 Trimester Meeting, are the
final X12 opportunity to comment: but generally only on modifications
based on the received public comments. After that, the guides are
finalized for movement through the Insurance Subcommittee (X12N) and X12
publication approval processes.

The two draft implementation guides are available for free download at:
http://store.x12.org/x291 and http://store.x12.org/x292 . Comments on
the drafts may be submitted by anybody -- X12 member or not -- via the
on-line conferences at:
http://www.wpc-edi.com/conferences/tg2/implementationguides .

The two Health Care Predetermination Implementation Guides, 005010X291
and 005010X292, are not counterparts of any that have been adopted
under HIPAA, and no official discussions regarding any such adoption are
presently contemplated. At this juncture, only voluntary use of these
TR3s is anticipated.

Participation in X12's public comment period for the two Health Care
Predetermination Implementation Guides 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
Rensis Corporation [A Consulting Company]
206-617-1717
DAFeinberg@...
Author of "Understanding HIPAA Communications"