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Fw: Announcing Informational Forums for ASC X12 Type 3 Technical Reports

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  • David A. Feinberg, C.D.P.
    ... From: Barber, Stacey (NCXIX) Sent: Tuesday, May 01, 2012 Subject: Announcing Informational Forums for ASC X12 Type 3 Technical Reports Announcing
    Message 1 of 1 , May 1, 2012
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      ----- Original Message -----
      Sent: Tuesday, May 01, 2012
      Subject: Announcing Informational Forums for ASC X12 Type 3 Technical Reports

       
      Announcing Informational Forums for ASC X12 Type 3 Technical Reports
       
      Several informational forums for ASC X12N Implementation Guides will be held June 4-6, 2012. The sessions will be conducted onsite at the X12N meeting in Indianapolis. To participate remotely, use this link for Virtual Meeting Registration, selecting "Subcommittee N (All Informational Forums)":  http://www.x12.org/x12org/meetings/x12trimt/index.cfm#vreg.
       
      These guides have been developed by work groups in X12N, the Insurance Subcommittee of
      X12. X12 is an Accredited Standards Committee (ASC) under ANSI (American National Standards Institute).
       
      At each informational forum the Project Delegate will review comments received during the public review period and the work group's responses to them. This is the final opportunity to discuss the modifications made in response to the public review comments before each guide is published.
       
      Discussion at the forums will focus on the comments made during the Public Review Periods, not new requests for changes. If significant changes are requested at the informational forums and the work group decides they should be included in the guide, the work group will rework the guide and the review process will be repeated.
       
      Please review the public review comments and associated work group responses before attending the informational forums. The implementation guides, public review comments and associated work group responses can be found at: http://forums.x12.org/.
       
       
      Informational Forum Schedule
      DayStartStopDocument
      Monday, June 41:00 PM1:30 PM006020X304 – Health Care Fee Schedule (832)
      The Health Care Fee Schedule Implementation Guide is to specify a standardized format for health care providers to receive a complete listing of the fee schedules they have agreed to with health care payers.
      Monday, June 41:30 PM2:00 PM006020X257 – Application Reporting For Insurance (824)
      The Application Reporting for Insurance Implementation Guide describes the use of the ANSI ASC X12 Application Advice (824) transaction set for the following business usages:
      • To report errors that are outside of the scope of the ANSI ASC X12 997 or 999 error reporting
      • To report the results of an application system's data content edits of transaction sets.
         006020X290 - Implementation Acknowledgment for Health Care Insurance (999)
      Implementation Acknowledgment for Health Care Insurance is to provide standardized data content and structure to users of the ASC X12 999 transaction set for the health care industry. This 999 is not limited to only Implementation Guide (IG) errors. It can report standard syntax errors, as well as IG errors.
      Monday, June 42:00 PM3:00 PM006020X275 – Additional Information to Support a Health Care Claim or Encounter (275)
      The Additional Information to Support a Health Care Claim or Encounter Implementation Guide describes the use of the ASC X12 Patient Information (275) transaction set for the following business usage:
      • To assist those who send additional supporting information or who receive additional supporting information to a health care claim or encounter.
         006020X278 – Additional Information to Support a Health Care Services Review (275)
      The Additional Information to Support a Health Care Claim or Encounter Implementation Guide describes the use of the ASC X12 Patient Information (275) transaction set for the following business usage:
      • To assist those who send additional supporting information or who receive additional supporting information to a health care claim services review.
      Monday, June 43:00 PM4:30 PM006020X267 – Health Care Claim Status Request and Response (276/277)
      The Health Care Claim Status Request and Response Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim Status Request (276) transaction set and the ANSI ASC X12 Health Care Claim Status Notification (277) transaction set to request the status of health care claim(s) and respond with information regarding the specified claim(s).
         006020X268 – Health Care Claim Request for Additional Information (277)
      The Health Care Claim Request for Additional Information Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim Status Notification (277) transaction set to request additional information to support a health care claim or encounter.
         006020X269 – Health Care Claim Acknowledgment (277)
      The Health Care Claim Acknowledgment Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim Status Notification (277) transaction set to acknowledge receipt of electronically submitted claim data and indicate the data’s acceptance, rejection or forwarding to another entity.
         006020X270 – Health Care Claim Pending Status Information (277)
      The Health Care Claim Pending Status Information Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim Status Notification (277) transaction set to provide claim status information on claims pending in the payer’s adjudication system without requiring health care provider solicitation.
       
      Tuesday, June 51:30 PM4:00 PM006020X259 – Health Care Claim: Professional (837)
      The Health Care Claim: Professional Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set to submit and transfer professional claims and encounters to primary, secondary, and subsequent payers.
         006020X260 – Health Care Claim: Institutional (837)
      The Health Care Claim: Institutional Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set to submit and transfer institutional claims and encounters to primary, secondary, and subsequent payers.
         006020X261 – Health Care Claim: Dental (837)
      The Health Care Claim: Dental Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set to submit and transfer dental claims and encounters to primary, secondary, and subsequent payers.
         006020X262 – Health Care Service Data Reporting (837)
      The Health data Reporting Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim (837) transaction set for the following business usages:
      • Reporting health care service data for use in health data statistical analysis from provider data
      • Reporting health care service data to satisfy governmental mandates necessary to regulate the health care industry
      • Reporting health care service data to measure utilization rates
      Tuesday, June 54:00 PM5:30 PM006020X264 - Health Care Services Review Inquiry/Response (278)
      The Health Care Services Review Inquiry/Response Implementation Guide describes the use of the ANSI ASC X12 Health Care Services Review Information (278) transaction set for the following business usages:
      • Make inquiries to utilization management organizations for information on previously processed health care services
      • Send response(s) to inquiry(ies) on previously processed health care services
         006020X265 – Health Care Services Review – Notification (278)
      The Health Care Services Review - Notification Implementation Guide describes the use of the ANSI ASC X12 Health Care Services Review Information (278) Version/Release 005050 transaction set for the following business usage:
      • Notification of interested parties concerning events related to a health care services review such as:
      • Patient arrival notice
      • Patient discharge notice
      • Patient transfer notice
      • Notification of certification to primary care physcian (PCP), utilization management organization (UMO), or other service providers Certification notice change
         006020X266 – Health Care Services Request for Review and Response (278)
      The Health Care Services Review Request and Response Implementation Guide describes the use of the ANSI ASC X12 Health Care Services Review Information (278) Version/Release 005050 transaction set for the following business usages:
      • 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
      Wednesday June 61:00 PM2:30 PM006020X280 -- Health Care Eligibility/Benefit Inquiry and Information Response
      The Health Care Eligibility/Benefit Inquiry and Information Response Implementation Guide describes the use of the Eligibility, Coverage or Benefit Inquiry (270) Version/Release 005010 transaction set and the Eligibility, Coverage, or Benefit Information (271) Version/Release 005010 transaction set for the following business usages:
      • 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
      Wednesday June 62:30 PM3:30 PM006020X258 – Health Care Claim Payment/Advice
      The Health Care Claim Payment/Advice Implementation Guide describes the use of the ANSI ASC X12 Health Care Claim Payment/Advice (835) transaction set for the following business usages:
      • 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
       
      Wednesday June 63:30 PM4:30 PM006020X283 – Benefit Enrollment and Maintenance (834)
      The Health Care Benefits Enrollment and Maintenance Implementation Guide describes the use of the ANSI ASC X12 Benefit Enrollment Maintenance (834) transaction set and addresses the enrollment and maintenance of human resources benefit plans including tier-based coverage (medical, dental and vision), tax advantage accounts (flexible spending accounts, healthcare spending accounts, and healthcare reimbursement accounts), and rate-based coverage (life, short term disability and long term disability).
         006020X284 – Payroll Deducted and Other Group Premium Payment for Insurance Products (820)
      The Payroll Deducted and Other Group Premium Payment for Insurance Products Implementation Guide describes the use of the ANSI ASC X12 Payment Order/Remittance Advice (820) transaction set, version 5010 for the following business usage:
      • Transmit payroll deducted premiums for a wide variety of insurance products, to include life, health, property and casualty, and disability.
      This guide was also designed for health care premium payments between federal and state governments, government agencies, and private industry.
       
      Wednesday June 64:30 PM5:30 PM005010X298 -- The Post Adjudicated Claims Data Reporting: Professional (837) 005010X298
      The Post Adjudicated Claims Data Reporting: Professional (837) Implementation Guide describes the use of the ASC X12 Health Care Claim (837) transaction set for reporting health care professional service post adjudicated data:
      • to satisfy state and federal reporting requirements such as; Medicare and Medicaid encounters, All Payer Claims Databases, and Health Care Insurance Exchanges
      • for use in health data analysis from payer data
         005010X299 -- The Post Adjudicated Claims Data Reporting: Institutional (837)
      The Post Adjudicated Claims Data Reporting: Institutional (837) Implementation Guide describes the use of the ASC X12 Health Care Claim (837) transaction set for reporting health care professional service post adjudicated data:
      • to satisfy state and federal reporting requirements such as; Medicare and Medicaid encounters, All Payer Claims Databases, and Health Care Insurance Exchanges
      • for use in health data analysis from payer data
         005010X300 -- The Post Adjudicated Claims Data Reporting: Dental (837)
      The Post Adjudicated Claims Data Reporting: Institutional (837) Implementation Guide describes the use of the ASC X12 Health Care Claim (837) transaction set for reporting health care professional service post adjudicated data:
      • to satisfy state and federal reporting requirements such as; Medicare and Medicaid encounters, All Payer Claims Databases, and Health Care Insurance Exchanges
      • for use in health data analysis from payer data
       
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