On September 4th, 2019 X12.org updated their home page with the latest 7030 Update.

The X12N work group is responsible for 007030 TR3s (Technical-Report-Type 3) also known as HIPAA Implementation Guides.

A public review period for each health care EDI Transaction must be conducted before these guides can become official.

Below is the latest information about the public review period.

Published as of 09/04/2019

  • 007030X333 Benefit Enrollment and Maintenance (834)
  • 007030X346 Health Insurance Exchange: Enrollment (834)

Public Review Complete, Finalization in Process as of September 2019

007030X322 Health Care Claim Payment/Advice (835)
007030X331 Health Care Claim Pending Status Information (277P)
007030X345 Health Insurance Exchange Related Payments (820)

Public Review Pending as of September 2019

007030X323 Health Care Claim: Professional (837P)

007030X324 Health Care Claim: Institutional (837I)

007030X325 Health Care Claim: Dental (837D)

007030X326 Health Care Service: Data Reporting (837R)

007030X327 Health Care Services Review Inquiry and Response (278)

007030X328 Health Care Services Review – Notification and Acknowledgment (278)

007030X329 Health Care Claim Status Request and Response (276/277)

007030X330 Health Care Claim Acknowledgment (277CA)

007030X332 Health Care Eligibility/Benefit Inquiry and Information Response (270/271)

007030X335 Implementation Acknowledgment for Health Care Insurance (999)

007030X340 Health Care Claim Request for Additional Information (277)

007030X341 Additional Info to Support a Health Care Claim or Encounter (275)

007030X342 Health Care Services Request for Review and Response (278)

007030X343 Additional Info to Support a Health Care Services Review (275)

007030X347 Code Value Usage in Eligibility Benefit Inquiry and Subsequent Response

07030X334 Payroll Deducted and Other Group Premium Payment for Insurance Products (820)

EDI Academy has trained hundreds of professionals. Our customers include organizations such as Stanford Hospital, BlueCross & Blue Shield of Illinois, Healthnet, TriZetto Group, DST Health Solutions, Tampa General Hospital, Delta Dental of Michigan, Oklahoma State Dept. of Health, Anthem and dozens of more.

We will be oferring 7030-5010 Gap Analysis training. To learn more check out 7030 5010 Gap Analaysis Training.

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