1 |
LOOP 2400 Treatment Stop/Start Dates
|
2 |
LOOP 2330A Other Subscriber Secondary Identifier Repeat Count
|
3 |
LOOP 2300 Estimated Amount Due AMT Segment
|
4 |
837I - LOOP 2400/SV202-1 Qualifier Notes and associated Definition errors
|
5 |
Mammography Certification Number
|
6 |
Institutional 837 Example 3.1.1
|
7 |
Home Health Care Treatment Codes (External Code Source 359)
|
8 |
LOOP 2400 HCP08 (Product or Service ID Qualifier)
|
9 |
Inpatient and Outpatient Definitions
|
10 |
Unbundling Definition
|
11 |
1.6.4 277 Health Care Claim Acknowledgment
|
12 |
LOOP 2010CA 837 Property and Casualty Claim Number
|
13 |
Various uses of Location Number (REF01 Qualifier LU)
|
14 |
LOOP 2330B REF - OTHER PAYER CLAIM ADJUSTMENT INDICATOR
|
15 |
Loop 2010AB N3 - Pay-to Address - fix example
|
16 |
Loop 2300 REF - Investigational Device Exemption Number
|
17 |
LOOP 2300 DTP - Admission Date/Hour
|
18 |
LOOP 2300 AMT - Patient Estimated Amount Due
|
19 |
1.4.4.1 Claim Level (Balancing)
|
20 |
1.4.4.1 Claim Level (Balancing)
|
21 |
1.4.4.2 Service Line (Balancing)
|
22 |
1.5 Business Terminology (Pay to Plan)
|
23 |
1.10.2 Implementation Migration Strategy
|
24 |
1.10 National Provider Identifier Usage within the 837 Transaction
|
25 |
1.4.1.3 Coordination of Benefits Claims from Paper or Proprietary Remittance Advices
|
26 |
1.4.5 Allowed/Approved Amount Calculation
|
27 |
1.11 Coding of Drugs in the 837 Claim
|
28 |
1.11 Coding of Drugs in the 837 Claim
|
29 |
1.12.2 Rejecting Claims Based on the Inclusion ofSituational Data
|
30 |
LOOP 2000B SBR03 Subscriber Group or Policy Number
|
31 |
LOOP 2300 DTP - REPRICER RECEIVED DATE
|
32 |
LOOP 2300 - CLAIM IDENTIFIER FORTRANSMISSION INTERMEDIARIES
|
33 |
837P - 2010AA REF - BILLING PROVIDER UPIN/LICENSE INFORMATION.
|
34 |
837P - 2300 K3 Segment vs TOO Segment
|
35 |
2400 SV101-1 (Qualifier HC)
|
36 |
2400 SV1 Yes/No Indicators
|
37 |
2000B/2000C PAT09 Yes/No Indicator
|
38 |
2400 SV107 DX Code Pointers
|
39 |
2330B Other Payer Referral Number - Change Name
|
40 |
2400 Prior Authorization Number - Change Name
|
41 |
Appendix D - Correct 2420C Repeat Reference
|
42 |
2400 PWK06 - Request for Note
|
43 |
Add TOO Segment to 837P and related 277s
|
44 |
1.11 Coding of Drugs in the 837 Claim
|
45 |
P&C PER Segment - Add to all Guides
|
46 |
2000B/2320 SBR01 Request for Clarification
|
47 |
2000B SBR05 - Change to Not Used
|
48 |
Add Predetermination to 837P
|
49 |
LOOP 2300, REF Claim Identifier for Transmission Intermediaries
|
50 |
1.3.1 Batch and Real-time Usage
|
51 |
Inpatient and Outpatient Designation
|
52 |
Update Element Names for CLM07, CLM08 and OI03
|
53 |
1.4.5 Allowed/Approved Amount Calculation
|
54 |
Request for CUR Segment TR3 Note
|
55 |
2010AA N4 Zip Code relax 9 digit zip requirement
|
56 |
2010AA N404 - Change Situational Rule
|
57 |
2010AB NM1 Segment - Change Situational Rule
|
58 |
Patient Amount Paid
|
59 |
Add Ambulance Segments to 837 Institutional
|
60 |
Add Ambulance Segments to 837 Institutional (Duplicate)
|
61 |
2400 CR1 Information
|
62 |
2400 CR1 Information
|
63 |
Ambulance Transport
|
64 |
2400/REF04 (Referral Number)
|
65 |
2400/CRC - Hospice Employee Indicator
|
66 |
2400/DTP - Last Seen Date
|
67 |
2400/DTP - Test Date
|
68 |
2400 DTP - Last Xray Date
|
69 |
2400 PS101 - Purchased Service Provider Identifier
|
70 |
1.4.5 Allowed/Approved Amount Calculation
|
71 |
2420B/REF (Qualifier G2)
|
72 |
HI - EXTERNAL CAUSE OF INJURY
|
73 |
2010BB/REF - Correct Repeat Count
|
74 |
2400 SV103 - MJ qualifier use
|
75 |
1.10.3 Organization Health Care Provider Subpart Representation
|
76 |
Add 278 Reference to 837 P and I
|
77 |
2400 Sales Tax Amount
|
78 |
2010CA 837 P&C Number
|
79 |
2400 Sales Tax Amount vs Service Tax Amount
|
80 |
2400 Sales Tax Amount vs Facility Tax Amount
|
81 |
Add MJ qualifier to Dental 837 Unit Count
|
82 |
Correct Repeat Count for Service Facility Loop REF Segments
|
83 |
2000B SBR05 Patient Relationship Code
|
84 |
HI01-1 and SV201-1 qualifier note clarification for ABC Codes
|
85 |
2310F/2420D Repeat Counts
|
86 |
2300 Admission Date - Inconsistent usage and CL102
|
87 |
2410 LIN Segment - Unit Count
|
88 |
Prohibit ICD-9 and ICD-10 on the same claim
|
89 |
How to Report on 837 When No 835
|
90 |
Provider Definitions in Front Matter 837P
|
91 |
2400 REF - Mammo Cert - increase repeat count
|
92 |
2400 NTE - LINE NOTE
|
93 |
2300 CLM10 - unclear TR3 note
|
94 |
2400 HCP06 and HCP07
|
95 |
Factoring Agent
|
96 |
Subscriber Address Requirements for Workers' Comp. Claims
|
97 |
2300/2400 REF Inconsistent naming of Repriced Claim Numbers across TR3s
|
98 |
2300 Admission Date/Hour
|
99 |
N407 TR3 Note
|
100 |
Remove 0B Qualfiier from all Provider REF Segments
|
101 |
SV111 EPSDT Indicator
|
102 |
SV112 Family Planning Indicator
|
103 |
2400 SV115 Co-pay Exempt Code
|
104 |
5010 balancing section
|
105 |
RAS Segment
|
106 |
Other types of DRG's
|
107 |
MIA- use of Inpatient Units
|
108 |
COB 3.3 Section
|
109 |
Non-capitation Bonus
|
110 |
Advice Only: Batch 835 will need to follow with payment
|
111 |
Add Disclaimers for Property & Casualty, Workers Comp, Individual Health Plan, NCPDP
|
112 |
COB Rules in Real Time environment
|
113 |
NCPDP Statement
|
114 |
RARC Statement
|
115 |
Real Time Model--beef up information
|
116 |
Correction & Reversal Guidance
|
117 |
Predetermination
|
118 |
CDHP
|
119 |
Provider Actions--Business Usage Expectations
|
120 |
Use HC policy to report jurisdictional rules
|
121 |
Add Real Time Adjudication instructions
|
122 |
Add Secondary Payment Reporting Considerations
|
123 |
CLP01 - revise rule for consistency
|
124 |
Add Assignment Examples
|
125 |
Front Matter Updates
|
126 |
835: Proposed Date Changes
|
127 |
Revise PLB01 Verbiage
|
128 |
835: Add front matter section for further Recoupments
|
129 |
Add 835 Example
|
130 |
Revisions Related to DSMO requests
|
131 |
835: Consider EFT CCD_CTX standards
|
132 |
Add clarification: PER Payer Technical Contact Information Segment
|
133 |
Front matter Section 1.10.2.1.1 - state service level segments are required
|
134 |
Add COB Education and Examples
|
135 |
Add Consolidation Bundling Info
|
136 |
Add a Bundling Example
|
137 |
835: Using CARC codes before they are published
|
138 |
DSMO CR1053
|
139 |
Review/Revise Balancing Section
|
140 |
Add detail related to Denial Management and Retroactive PLB
|
141 |
Add Appeal Processing Section
|
142 |
Add Information to the Front-matter
|
143 |
Add 835 Subscriber-Patient Scenarios
|
144 |
Add 835 Information based on Public Comments
|
145 |
835: Middle Initial Corrections
|
146 |
Add/Revise Appeal Processing Section
|
147 |
Review/Revise Service Level AMT segments
|
148 |
Clean up Section 3.3.1.1 Examples
|
149 |
Correct Section 1.10.2.6 Partial Unbundling Example
|
150 |
Review/Revise 835
|
151 |
Review/Revise the TR3
|
152 |
REF D9 Clearinghouse Identifier
|
153 |
Sync 835 and 837 Data Elements and Requirements
|
154 |
Loop 2010AA/REF Billing Provider Tax Identification Number
|
155 |
Section 1.4.2 Property & Casualty
|
156 |
Section 1.10.4 Subparts & the 2010AA - Billing Provider Name Loop
|
157 |
Section 1.10.4 Subparts & the 2010AA - Billing Provider Name Loop
|
158 |
Section 1.12.7 Trading Partner Acknowledgments - remove
|
159 |
Section 3. Examples. Scenario 1 Information listing 6
|
160 |
Section 3. Examples. Scenario 1 Example String 10
|
161 |
Section 3. Examples. Scenario 1 Example String 20
|
162 |
Section 3. Examples - various
|
163 |
Loop 2000B - HL - Subscriber HL04
|
164 |
Loop 2010AA - NM1 Billing Provider Name TR3 Note 1
|
165 |
Loop 2010AA - NM1 Billing Provider Name TR3 Note 4
|
166 |
Loop 2010AA - NM1 Billing Provider Name TR3 Note 3
|
167 |
Loop 2010AA NM1 Billing Provider Name NM108 & NM109 & many other provider segments
|
168 |
Correct examples with 9-digit zip codes.
|
169 |
Loop 2010AB - Pay-to Address Name: Segment Names
|
170 |
Loop 2010BB Billing Provider Secondary Identification Situational Rule
|
171 |
Loop 2300 REF - Repriced Claim Number & many other segments - situational rule
|
172 |
Loop 2300 REF - Investigational Device Exemption Number situational rule
|
173 |
Loop 2300 REF - Investigational Device Exemption Number TR3 Note
|
174 |
Loop 2300 HI - Principal Diagnosis & other segments - code note for ICD-10 qualifiers
|
175 |
Many loops - Situational rule for Provider REF Segments
|
176 |
Loop 2310x & 2420x - REF - Service Facility Location Secondary Identification
|
177 |
Loop 2310x - NM1 Referring Provider Name - NM108 & NM109
|
178 |
Loop 2400 - NTE - Third Party Organization Notes
|
179 |
REF segments for Provider Secondary Identification in 2420x loops - 837I
|
180 |
REF segments for Provider Secondary Identification in 2420x loops - 837P
|
181 |
Loop 2010AA - REF- Billing Provider License Information
|
182 |
Loop 2300 - K3 - File information & Loop 2400 - K3 - File information
|
183 |
Loop 2400 - REF - Repriced Line Item Reference Number
|
184 |
Loop 2400 - REF - Adjusted Repriced Line Item Reference Number
|
185 |
Loop 2310D REF - Supervising Provider Secondary identification
|
186 |
Section 1.3.2 Other Usage Limitations - revise for real-time transactions
|
187 |
Section 1.3.2 Other Usage Limitations - revise for real-time transactions
|
188 |
Section 1.7.1 Health Care Claim Payment/Advice (835)
|
190 |
Section 1.1 Implementation Purpose and Scope - predetermination
|
191 |
Section 1.4 Business Usage - predetermination
|
192 |
Section 1.4.1 Coordination of Benefits - predetermination
|
193 |
Section 1.4.4.1 Balancing, Claim Level - predetermination
|
194 |
Section 1.4.4.2 Service Line - predetermination
|
195 |
Section 1.4.5 Allowed/Approved Amount Calculation -predetermination
|
196 |
Section 1.5 Business Terminology - predetermination
|
197 |
Section 1.7.1 Health Care Claim Payment/Advice (835) -predetermination
|
198 |
Section 2.3.1 Transaction Set Lising - Implementation -predetermination
|
199 |
Loop 2300 CLM Segment - Predetermination
|
200 |
Loop 2300 CLM Segment CLM19 - Predetermination
|
201 |
Loop 2300 DTP - Discharge Hour segment - predetermination
|
202 |
Loop 2300 DTP - Statement Dates segment -predetermination
|
203 |
Loop 2300 DTP - Admission Date/Hour - predetermination
|
204 |
Loop 2400 DTP - Service Date segment -predetermination.
|
205 |
New section in 1.12 - Date of Service for Predetermination Requests
|
206 |
Section 1.5 Business Terminology - claim definition for predetermination
|
207 |
Loop 2300 - HI - Principal Procedure Information HI01-03 & HI01-04 - predetermination
|
208 |
Loop 2300 - HI - Principal Procedure Information situational rule - predetermination
|
209 |
Loop 2300 HI - Other Procedure Information - component -03 & -04 of HI01 through HI12 - predetermination
|
210 |
Loop 2310x & 2420x - N3 - Service Facility Location Address - predetermination
|
211 |
Loop 2400 DTP - Service Date segment. TR3 Note 1 - predetermination
|
212 |
Loop 2400 - REF - Line Item Control Number - predetermination
|
213 |
Section 1.4.2 Property and Casualty - predetermination
|
214 |
Section 1.5 Business Terminology - add defintion for estimation - predetermination
|
215 |
Loop 2300 - CLM - Claim Information - CLM12 - predetermination
|
216 |
Loop 2300 - DTP-Admission Date - Predetermination
|
217 |
Loop 2300 - REF - Care Plan Oversight - sit rule - predetermination
|
218 |
Loop 2300 - REF - Care Plan Oversight - TR3 Note - Predetermination
|
219 |
Loop 2300 CRC - Homebound Indicator - Predetermination
|
220 |
Loop 2300 HI -Anesthesia Related Procedure - Predetermination
|
221 |
Loop 2310A - Referring Provider Name - TR3 note - Predetermination
|
222 |
Loop 2310B - Rendering Provider - Predetermination
|
223 |
Loop 2310C - NM1 - Service Facility Location Name TR3 Note - Predetermination
|
224 |
Loop 2310E - Ambulance Pick-Up Location & Loop 2310F - Ambulance Drop-off Location Sit Rule - Predetermination
|
225 |
Loop 2400 DTP - Service Date (837P) - Predetermination
|
226 |
Loop 2400 DTP - Prescription Date - Predetermination
|
227 |
Loop 2400 DTP - Test Date - Predetermination
|
228 |
Loop 2400 DTP - Shipped Date - Predetermination
|
229 |
Loop 2400 PS1 - Purchased Service Information- Predetermination
|
230 |
Loop 2420C - NM1 Service Facility Location Name TR3 Note
|
231 |
271: Require the Return of Financial Liability
|
232 |
271: Require the Return of Financial Liability
|
233 |
Additional Code values for HDHP/CDHP plan types
|
234 |
RASO/ASO Search Parameters
|
235 |
Tiered Benefits
|
236 |
270/271: Provider Tailored Benefits
|
237 |
External Service Type Codes
|
238 |
Service Type Codes
|
239 |
Cascading Search Logic
|
240 |
Restrictions for MSG/Disclaimers
|
241 |
Restrictions for MSG/Disclaimers
|
242 |
Penalties Apply
|
243 |
Repeating EB01
|
244 |
Additional Insurance Type Codes
|
245 |
271: Require the Return of Financial/Non-Financial Accumulators
|
246 |
270/271 Harmonization for NM108, REF01 and various HSD elements.
|
247 |
Data Dictionary & Definitions
|
248 |
Dental Specific Guidance
|
249 |
Units Quantity Qualifer
|
250 |
Clarifying What Benefit Limits and Deducibles Represent
|
251 |
Financial Limitations Apply When $ Amount Exceeds X
|
252 |
Family Deductible = X Individuals Deductibles Met
|
253 |
From-Thru/To Dates
|
254 |
Real Time Adjudication
|
255 |
Tax Deferred Health Spending Accounts
|
256 |
Add Code to HL03
|
257 |
Requirement to Respond to All EQs
|
258 |
Require the Return of Financial/Non-Financial Accumulators on 271
|
259 |
Patient Financial Liability and Applicability to Deductible/OOPMax
|
260 |
Limit Response to be Completely Dependent on Request EQs
|
261 |
Add Codes to 2110C/D REF01 in the 271
|
262 |
AAA Normalization
|
263 |
270/271 revise to support WC/PC
|
264 |
Add Additional Restrictions for Use of MSG/Disclaimers
|
265 |
Portal vs. EDI Content Requirements
|
266 |
Require Return of Termination Dates
|
267 |
Institutional / Facility Indicator Needed
|
268 |
Aggregate Patient Financial Liability Details
|
269 |
Require Past/Future Dates
|
270 |
Increase III Repeat
|
271 |
External Service Type Codes
|
272 |
Add Minimum Response Requirements
|
273 |
Add Home Health Care Codes to DTP01
|
274 |
Sub vs. Dep on 270 and AAAs
|
275 |
Add Contact Info to 2100C/D
|
276 |
Add Case Number Codes to REF01
|
277 |
Cost Containment vs. Spend Down
|
278 |
Correction to EQ Loop reference in 1.4.3
|
279 |
Correction to External Code Source Reference
|
280 |
Require the return of Financial Liability on 271
|
281 |
Correct Conflicting Situational Rules
|
282 |
Correct Conflicting Situational Rules
|
283 |
999 vs 997
|
284 |
Add Code to REF
|
285 |
Require Full Plan Name
|
286 |
Appendix Reference to 999
|
287 |
Batch Linkage Clarification
|
288 |
Require PreExisting Information be Returned
|
289 |
Require Wait Period Completion Information
|
290 |
Clean Up Situational Rules
|
291 |
Past/Future and Range of Dates
|
292 |
EB11 When Penalties Apply
|
293 |
New Qualifier Needed
|
294 |
First Dollar Coverage
|
295 |
Add Code Values to HSD
|
296 |
Enhance the PCP Requirements Enhanced
|
297 |
INS Rules
|
298 |
Absence of EBs
|
299 |
CTX05 Usage
|
300 |
Missing AK905 Codes
|
301 |
Clarify 999 Use is for Syntactical Errors
|
302 |
Revise Paragraph 2 of the Implementation Purpose and Scope
|
303 |
Revise Figure 1.1
|
304 |
Add Examples
|
305 |
Change CTX06-2 Usage
|
306 |
CTX06 Note
|
307 |
CTX04 Note
|
308 |
IK303 Note
|
309 |
Update CTX Examples
|
310 |
Revise to Support the Medicare Rebate Program for Drugs
|
311 |
Clearinghouse/Vendor Identification Number
|
312 |
Remove References to HCFA
|
313 |
HCP13 Values T2 - T5 are not used in the industry
|
314 |
Remove HCP13 Values T2 - T5
|
315 |
Revise the MIA Implementation Name
|
316 |
Referring/Ordering Provider Definitions
|
317 |
TOO02 - Tooth Code
|
318 |
837I: HCP Segment Implementation Names
|
319 |
Change Usage of the Claim Level Repriced Approved Revenue Code (HCP08)
|
320 |
837D: Support Condition Codes for Workers' Compensation
|
321 |
837P: Support Condition Codes for Workers' Compensation
|
322 |
837R: Correct Example
|
323 |
Revise the Examples that Include UPIN
|
324 |
837P Referring Provider
|
325 |
Remove Notes Which Applied Prior to the NPI Mandate
|
326 |
Remove UPIN Qualifier
|
327 |
Remove Dual Use Language
|
328 |
Remove Dual Use Language
|
329 |
2010AA REF02 - Implementation Name
|
330 |
Remove Dual Use Language
|
331 |
Remove Dual Use Language
|
332 |
Revise 2300 DN1 Note
|
333 |
837D: Revise the DN1 Example
|
334 |
2300 DN103 Usage
|
335 |
2300 DN104 837D - Remove Notes
|
336 |
Appendix A: Update Code Source 537
|
337 |
837D: Revise the 2330D Situational Rule
|
338 |
2300/REF Prior Authorization Number
|
339 |
2330B/REF Other Payer Prior Authorization Number
|
340 |
2330/REF Other Payer Predetermination Identification Number
|
341 |
Update Section 1.10.4
|
342 |
2320/2430 CAS02 Remove Note
|
343 |
Update Section 3 Examples
|
344 |
Add REF for Dental Readiness Code
|
345 |
837P: Add New Loop for Outside Labs
|
346 |
Add New Loop for Factoring Agent
|
347 |
Expand CR8 to Include All Types of Implants
|
348 |
278: Loop 2010EA NM101
|
349 |
Add a PER to Subscriber and Dependent Loops
|
350 |
Add Code Source 886 (Decision Reason Codes) to Appendix A
|
351 |
Correct 1.3.1
|
352 |
Add Code Definitions for UM06
|
353 |
278 UM02: Clarify the Difference Between codes 4 and S
|
354 |
Add ICD10 procedure codes to CR610
|
355 |
Remove Code Source 513
|
356 |
278: 2000 UM01
|
357 |
278 UM02: Clarify the Difference Between codes 4 and S
|
358 |
Guidance on Formatting of ICD9/ICD10
|
359 |
278 - The CRC segments are being required when none of the condition codes are applicable.
|
360 |
Review the CRC Usage Note
|
361 |
Revise Patient Account Number Information in 1.12.2
|
362 |
Remove UPIN Qualifiers
|
363 |
Remove UPIN Qualifiers
|
364 |
278: Revise PER Situational Rules
|
365 |
Why is CL1 Required for Admissions
|
366 |
Update Examples
|
367 |
277CA Real Time Recommendation
|
368 |
Update Examples
|
369 |
Update Examples
|
370 |
Update Examples
|
371 |
Status Codes and Entity Codes
|
372 |
837 Section 1.7.1
|
373 |
Limit STC Segments?
|
374 |
Update the ST Segment Example
|
375 |
Add XV Qualifier
|
376 |
Review Information Receiver Status Usage
|
377 |
Review Billing Provider Status Usage
|
378 |
Add Pay to Plan Code
|
379 |
Linking Claim Status to Submitted Claims
|
380 |
Billing Provider QTY and AMT Segment Notes
|
381 |
Revise Billing Provider QTY Element Note
|
382 |
277: Add an EDI Control Number
|
383 |
277CA: Add Dental Predeterminations
|
384 |
SVC01: Add More Procedure Modifiers
|
385 |
Add Property and Casualty Claim Number
|
386 |
Add Situational Rule for Property and Casualty Claim Number
|
387 |
Add DPT Segements for Property and Casualty Use
|
388 |
TOO Segment Situational Rule
|
389 |
276/277, 277 Pending - Service Provider NM1
|
390 |
Add Notes for STC10-1 and STC11-1
|
391 |
Review the Usage Requirement for the Patient Control Number REF
|
392 |
Clearinghouse REF Situational Rules
|
393 |
PWK Segment Situational Rule
|
394 |
Review the Usage Requirement for the Line Item Control Number
|
395 |
Review the Usage Requirement for the Service Line Date of Service
|
396 |
2220D STC02 Note
|
397 |
2220D REF Segments
|
398 |
Linking Claim Status Responses Back to an Inquiry
|
399 |
Add Claim Received Date
|
400 |
276/277 - Batch vs Realtime
|
401 |
Real Time Limitations
|
402 |
Provider Information Across Levels
|
403 |
Multiple Dependents/Patients in One Request
|
404 |
1.4.3.1: STC Usage Instructions
|
405 |
Service Status Response
|
406 |
Add Status Response Level Guidance
|
407 |
Add Status Response Level Guidance
|
408 |
Enhance Business Terminology
|
409 |
Review DMG12 Country Code Usage
|
410 |
276/277 - Institutional Bill Type
|
411 |
Add Other Options for DMG03
|
412 |
Clarify Use of Application or Location Identifier
|
413 |
Service Line Item Identification
|
414 |
276/277 - Payer Contact Info
|
415 |
Review the Usage for Institutional Bill Type and Other REF segments
|
416 |
Payment Info at the Line Level
|
417 |
HL Segment Situational Rule
|
418 |
Establish Search Criteria
|
419 |
STC: Standardize Entity Code
|
422 |
837P: Remove references to CMN form Numbers
|
423 |
PWK02 - Standardize the Code List
|
424 |
Review 824 Feasability
|
425 |
Review 1.6.3
|
426 |
1.7.4: Update URL References
|
427 |
1.10.7: Rewrite BDS Section
|
428 |
275 x278: Review CAT03 Usage
|
429 |
Add Note to STC01-2, 10-2 and 11-2
|
430 |
Add Note to CAT03
|
431 |
Revise the OOI01 and OOI03 Notes
|
432 |
BIN and BDS Notes
|
433 |
Evaluate the 277 as a Request for the PHR 275
|
434 |
Add UPN Qualifier/ID
|
435 |
Update LOINC References
|
436 |
Update STC Notes for LOINC
|
437 |
278: Revise the 2000A/REF
|
438 |
Remove Diagnosis REF
|
439 |
Add SVC to Claims Attachment.
|
440 |
275 Additional Information: Add HI Segment
|
441 |
Evaluate Use of the HI segment in 275 HC Review
|
442 |
Add SVC to 275 HC Review
|
443 |
Remove Note Duplication - LX segment
|
444 |
837 & 278: Use Consistent Wording with that of the AMA
|
445 |
Revise HIEC Code Note
|
446 |
Revise ABC Code Note
|
447 |
Revise BDS Example
|
448 |
2110B BDS - Revise the Loop Repeat Note
|
449 |
Revise BDS Segment Note
|
450 |
Add 2110B BDS01 Element Note
|
451 |
2110B/BDS01 Code note needed
|
452 |
Add 2110B BDS02 Element Note
|
453 |
Add 2110B BDS02 Element Note
|
454 |
Revise the 2110B BDS03 Element Note
|
455 |
Delete IV in the HIEC Code Sources
|
456 |
837 and 277 Request for Additional Information: Synchronization Code Source References
|
457 |
Review Use of the SVC & HI Segments
|
458 |
Review the 1000D REF Notes
|
459 |
STC: Add LOINC Code Source Note
|
460 |
Review 824 Codes
|
461 |
Review OOI Usage
|
462 |
Add HI Segment Qualifiers
|
463 |
Add HI Segment to 2000A
|
464 |
Review Section 1.1, paragragh 3
|
465 |
Revise 1.2 of the Front Matter
|
466 |
Validate Front Matter References
|
467 |
Consistent Acknowledgement Use Across 275 guides (Section 1.75)
|
468 |
Review Section 1.10 Across the TR3s
|
469 |
Review/Revise Chapter 3
|
470 |
Revise Example Dates
|
471 |
Revise CDA References
|
472 |
Remove Unique IDs From Front Matter
|
473 |
Revise 1.6.3
|
474 |
ENT01: Increase the Length
|
475 |
834: Support Reporting of Inactive Coverage
|
476 |
Verbiage update -Clarify the Count
|
477 |
DMG06: Revise the Situational Rule
|
478 |
2100B NM103: Change to Situational
|
479 |
Standardize Situational Rules
|
480 |
Review 2000 INS10 Situational Rule
|
481 |
Hyphen Consistency: Full and Part-time
|
482 |
Spelling Consistency: Payer Or Payor
|
483 |
Word Use Consitency: Contract or Trading Partner Agreement
|
484 |
Word Use Consitency: Dependent or Dependant
|
485 |
Section 1.5 Business Terminology: Add Broker
|
486 |
2310 NM108 - Remove ID Qualifiers
|
487 |
Support Inactive Status Reporting
|
488 |
Add Involuntary Termination to INS07
|
489 |
Update Usage for ADX03 and ADX04
|
490 |
INS6-01 - Additional Codes
|
491 |
Word Use: Choose one term, Contract, Insurance Contract or Trading Partner Agreement
|
492 |
Usage 2010EB NM103
|
493 |
Consider Utilizing the MPI Segment to Identity Military Rank
|
494 |
837P: SV115 Co-pay Status Code
|
495 |
Remove Principal DX Qualifier
|
496 |
Consider Allowed Amount in the Claim Transactions
|
497 |
Revise the REF Segment Qualifiers
|
498 |
2300 Anesthesia Related Surgery HI Segment
|
499 |
Revise 2000B/2000C PAT07/PAT08 Situational Rule
|
500 |
Add Admission Date Note
|
501 |
Evaluate the Need for the Provider REF Segment
|
502 |
837R: Add HI Segment
|
503 |
837 REF: Support WC State License Number Use
|
504 |
837: CLM01 Use
|
505 |
Consider Limited Coverage Needs
|
506 |
Support the Generic Provider Role of Specialist
|
507 |
Add Bill Type Code
|
508 |
271: Enhance the Requirments for Level, Type and Amount of Information
|
509 |
Add Instructions for Forward Rolling
|
510 |
Revise Plan Date Requirements
|
511 |
Add Coinsurance Days
|
512 |
Clarify Definition for "Plan"
|
513 |
Revisions to Support Provider Needs
|
514 |
HIR Expansion
|
515 |
Add Health ID Card Reference Information
|
516 |
Add Requirement to Return All Plan information
|
517 |
Clarify Whether TPA Benefits Must Be Returned in the Response
|
518 |
Clarify Usage of the REF and EB05
|
519 |
1.4.7.1: Add Requirements for the Return of Inactive Service Type Information
|
520 |
Review Usage of Subscriber, Dependent, Patient, ETC
|
521 |
Support Additional Addresses
|
522 |
HI: Support SNOMED Diagnosis Codes
|
523 |
2000C NM106 and INS: Eliminate Reference to Benefit/Level of Care
|
524 |
1.3.2: Rewrite the Last Paragraph
|
525 |
CR6: Add Code Value "IP"
|
526 |
Code Source 235: Replace "ZZ" With "IP"
|
527 |
X275 and X278 Section 1.7.4: Revise First Paragraph
|
528 |
X278 1.7.4: Remove Bullets
|
529 |
X278: Remove Section 1.7.5
|
530 |
X278 Section 1.10.1 Figure 1.6: Update Transaction Set Listing
|
531 |
X275 1.10.1 Table 1
|
532 |
X275 1.10.1 Table 2
|
533 |
X275 Section 1.10.2: Revise First Paragraph
|
534 |
X275 1.10.2: Delete Sentences
|
535 |
X275 guide 1.10.2: ST and BGN Examples
|
536 |
X275 1.10.3: Revise First Bullet
|
537 |
X275 1.10.3: Revise Patient Definition
|
538 |
X275 1.10.3: Revise Provider Definition
|
539 |
X275 1.10.3: Revise Provider NM1 Example
|
540 |
X275 1.10.3: Remove Extraneous Information
|
541 |
X275 1.10.4: Remove Example
|
542 |
X275 1.10.4 LX: Remove Example
|
543 |
X275 1.10.4 TRN: Remove Example
|
544 |
X275 1.10.4 TRN: Revise the First Bullet
|
545 |
X275 1.10.4 TRN: Revise the Second Bullet
|
546 |
X275 1.10.4 STC: Remove Example
|
547 |
X275 1.10.4 STC: Revise
|
548 |
X275 1.10.4 DTP: Remove
|
549 |
X275 1.10.4 CAT: Remove
|
550 |
X275 1.10.4 EFI: Remove
|
551 |
x275 1.10.4 BIN: Remove
|
552 |
X275 1.10.5: Remove
|
553 |
X275 1.10.4 LX: Revise
|
554 |
X275 BDS02 Note: Revise
|
555 |
X275 1.10.4: Add BDS Segment Information
|
556 |
X275 1.10.4: Change Title
|
557 |
X278 1.10.2: Revise the Table
|
558 |
X278 1.10.2: Revise the Table
|
559 |
X278 1.10.2: Revise the Table
|
560 |
X278 Section 1.10.2.1.1: Revise
|
561 |
X278 Section 1.10.2.1.1: Revise
|
562 |
X278 Section 1.10.2.1.1: Delete Information
|
563 |
X278 Section 1.10.2.1.2: Remove NM1 Examples
|
564 |
X278 Section 1.10.2.1.2: Remove PER Examples
|
565 |
X278 Section 1.10.2.1.2: Remove REF Examples
|
566 |
X278 1.10.2.2: Revise Figure 1.8
|
567 |
X278 1.10.2.2.1: Revise TRN Section
|
568 |
X278 1.10.2.2.1: Revise STC Section
|
569 |
X278 1.10.2.2.1 REF Section
|
570 |
X278 1.10.2.2.1: REF Section
|
571 |
X278 1.10.2.2.1: Delete DTP Section
|
572 |
X278 1.10.2.2.1: Delete CAT Section
|
573 |
X278 1.10.2.2.1: Delete EFI Section
|
574 |
x278 1.10.2.2.1: Delete BIN Section
|
575 |
X278 1.10.2.2.1: Add BDS Information
|
576 |
X275 and X278 1.7.4: Revise first Paragraph
|
577 |
X275 ST: Revise Example
|
578 |
X278 ST: Revise Example
|
579 |
X275 BGN: Revise Example
|
580 |
X278 BGN: Revise Example
|
581 |
X278 BGN01: Revise Element Note
|
582 |
X278 1000A/NM1: Revise Note
|
583 |
X275: Add Element Note for PI Qualifier
|
584 |
X275 Section 1.1: Revise Paragraph 3
|
585 |
X275 1.3.2: Add Additional Information
|
586 |
X278 1.3.2: Revise
|
587 |
X275 1.4: Revise
|
588 |
X275 1.4: Revise
|
589 |
X278 1.4: Replace Second Paragraph
|
590 |
x278 1.4: Revise Last Paragraph
|
591 |
x275 1.4: Revise Last Paragraph
|
592 |
X275 1.4.1: Revise First Paragraph
|
593 |
X278 1.4.1: Revise First Paragraph
|
594 |
X275 1.4.2: Revise First Paragraph
|
595 |
X278 1.4.2: Revise
|
596 |
Section 1.5 Business Terminology: Add Term
|
597 |
x278 Section 1.5 Business Terminology: LOINC references
|
598 |
x278 Section 1.5 Business Terminology: LOINC references
|
599 |
x275 Section 1.5 Business Terminology: LOINC references
|
600 |
X275 Section 1.6.3 last paragraph, second sentence
|
601 |
X278 Section 1.6.3 last paragraph, second sentence
|
602 |
X275 and X278 Section 1.7.4 - Title
|
603 |
X275 and X278 Section 1.7.4 First Paragraph
|
604 |
X275 and X278 Section 1.7.4 - Remove Bullets
|
605 |
X278 - Remove Section 1.7.5
|
606 |
x278 Section 1.10 First Sentence
|
607 |
SNOMED & 6020
|
608 |
MSG Segment Usage- Minimize by Making Changes Elsewhere
|
609 |
Add Search Options
|
610 |
Add Code for Plan Administrator
|
611 |
Claim Level vs Line Level Dates
|
612 |
Remove HIEC & ABC Codes
|
613 |
2330G Other Payer Billing Provider Situational Rule Change Needed
|
614 |
DSMO Request 1130
|
615 |
DSMO Request 1119
|
616 |
DSMO Request 1121
|
617 |
DSMO Request 1123
|
618 |
DSMO Request 1118
|
619 |
DSMO Request 1120
|
620 |
DSMO Request 1122
|
621 |
DSMO Request 1137
|
622 |
DSMO Request 1141
|
623 |
DSMO Request 1145
|
624 |
DSMO Request 1113
|
625 |
DSMO Request 1131
|
626 |
DSMO Request 1133
|
627 |
DSMO Request 1139
|
628 |
DSMO Request 1140
|
629 |
DSMO Request 1127
|
630 |
DSMO Request 1128
|
631 |
DSMO Request 1129
|
632 |
DSMO Request 1125
|
633 |
DSMO Request 1142
|
634 |
DSMO Request 1143
|
635 |
DSMO Request 1146
|
636 |
DSMO Request 1144
|
637 |
DSMO Request 1126
|
638 |
Unbundling Splits
|
639 |
Correct 1.10.2.14.1 Example 2
|
640 |
Correct 1.10.2.14.1 Example
|
641 |
NM1 Corrected Priority Payer
|
642 |
DTM - From or To Date
|
643 |
REF Service Identifier
|
644 |
Add Front Matter Section: RARC codes and Retroactive Claim Adjustments
|
645 |
Add Claim Identification Number for Clearinghousee and Other Transmission Intermediaries
|
646 |
Add PLB Adjustment Reason Codes
|
647 |
Add Payer Web Site
|
648 |
2100 REF: Add 9V Qualifier
|
649 |
Add Clarifying Language: Clean Claim Date vs Claim Received Date
|
650 |
Consistency Between 2100 Other Claim Related Identification and the Service Identification REF Segments
|
651 |
REF*CE (with inclusion of REF04) – AMA DMSO contracting entity.
|
652 |
PER*AF (or ZZ) – AMA DSMO funding entity.
|
653 |
REF*ATF (2100 and 2110 loops) – AMA DMSO fee schedule identifier.
|
654 |
Enhance information on line splitting
|
655 |
HIR 1000
|
656 |
Add payer Web site PER 2U / add an example
|
657 |
Coordiated work with X12F on items in table 1 - slight changes will be needed.
|
658 |
REF 5N adding for state citations/ add an example
|
659 |
Add Property & Casualty Claim Number Reference Identification X12 REF01“Y4” to Loop 2100; REF Segment
|
660 |
Add Date/Time Qualifier Code 431: Onset of Current Symptoms or Illness date
|
661 |
Add Date/Time Qualifier Code 439:Accident Date
|
662 |
Business and structural - compliance front matter
|
663 |
Remove TS2 segment – Deb was to follow-up with WEDI – this needs to be documented and done in 6020
|
664 |
Remove use of CARC 42 in all examples
|
665 |
Front matter sectiion: Bonus payments in the 83 not related to Capitaion.
|
666 |
Clarify Claim Splitting
|
667 |
Enhance Front Matter - Bundling and COB
|
668 |
Enhance Front Matter - PIP vs CAP Payment
|
669 |
TS3 note - remove reference to Medicare
|
670 |
Add indicator for 'type of claim'
|
671 |
835 - Add language in front matter section from the Federal Register stating "… 835 required at provider discretion…"
|
672 |
Create an attachment component to be able to send image or link to image within the 835.
|
673 |
835 - Add 'Mode of Delivery': paper vs electronic clearinghouse vs direct delivery
|
674 |
835 - Add crossover N1 segment with multiple occurrances
|
675 |
Need to define CLP15 and usage
|
676 |
835 - Bank to Bank Transfer - review need for a new 1000C loop
|
677 |
Repricer - Providers need to know if reprocer was used
|
678 |
835 - Make Claim Adjustment Group Code an external list
|
679 |
835 - Reorganize all front matter sections
|
680 |
835 - CLP02 - add codes to indicate reversal of secondary and tertiary claims
|
681 |
Eliminate the REF Version ID segment
|
682 |
The Bundling section discussing adjusting off non-paying service lines
|
683 |
Consider adding NTE or K3 segment
|
684 |
1000B Payee Address (page 104 & 105)
|
685 |
Review notes on SVC and relax edits codeset usage for invalid submitted codes
|
686 |
Send back the original Claim Status Code in CLP02
|
687 |
Please consider using the rules of the CLP04 in the CLP05.
|
688 |
CR 36-Home Health Agency
|
689 |
Refund possible changes to this front matter
|
692 |
DSMO Request 1147
|
693 |
Revise National Plan ID (PIDR) References
|
694 |
Revise National Plan ID (PIDR) References
|
695 |
Revise National Plan ID (PIDR) References
|
696 |
Revise National Plan ID (PIDR) References
|
697 |
Revise National Plan ID (PIDR) References
|
698 |
999 - ISA13 error reporting need
|
699 |
Add new Situational Rule for Loop ID 2330 (Other Payer Billing Provider Secondary Identification) all 837 guides
|
700 |
Modify Situational Rule for Patient's Reason for Visit (Loop 2300 HI Segment)
|
701 |
Support Larger Payment Amounts
|
702 |
New Glossary Definitions
|
703 |
Define patient vs insured vs subscriber vs dependent
|
704 |
Remove ICD9 Examples from Diagnosis and ICD Procedure Codes
|
705 |
835 Operating Rules
|
706 |
824 - Add batch and item details to 824, OTI03 data element
|
707 |
HIR 215 Examples to be added
|
708 |
HIR 367 Code value 901 (if available yet) added to AAA03
|
709 |
HIR 395 Add clarifications re: usage of last name and suffixes
|
710 |
HIR 447 AAA03=80, usage limitation re: Clearinghouses/VANS
|
711 |
HIR 542 271 EB & AAA Response
|
712 |
HIR 550 Sending Primary/Secondary Policies
|
713 |
HIR 845 Repeating EB03
|
714 |
HIR 895 Use of MSG or code list values
|
715 |
HIR 898 Use of repeating data element & subsequent segment/element details
|
716 |
HIR 1025 271 5010 PRV02 and PRV03
|
717 |
HIR Alternate Search Options
|
718 |
NCPDP Operating Rules & 270/271
|
719 |
Patient's Reason for Visit (HI Segment) 837I (HIR 1256)
|
720 |
New Search Option (excluding Member ID)
|
721 |
Home Health Agency
|
722 |
New Codes and or New Data Elements Needed to Minimize Use of the MSG Segment in the 271 Transaction
|
723 |
HIR 309 Requested date on a response
|
724 |
HIR 881 STCs do not apply to OOP maximum
|
725 |
Rendering Provider Loops in Prof/Dent
|
726 |
HIR 1137 Add Clarification to Section 1.4.4.1
|
727 |
824 transaction reference update
|
728 |
835 Timing
|
729 |
BHT04 (Transaction Creation Date)
|
730 |
Payer Claim Control Number
|
731 |
Update Section 1.4.4.1 Claim Level Balancing
|
732 |
Clarify 2310D/2420D Supervising Provider
|
733 |
Consistent Segment Representation across guides
|
734 |
Loop 2300 HI - Occurrence Span Information (Predeterminations)
|
735 |
Loop 2300 HI - Occurrence Information (Predeterminations)
|
736 |
Modify NM1 X12 Set Notes to include other entity types
|
737 |
Add Repricer Capability to the 277CA
|
738 |
PWK10/PWK11 Add rules around LOINC codes. Also evaluate PWK01 code values to coincide with LOINC
|
739 |
999 - RFI 1260 TA105 code “032” for ISA11
|
740 |
999 - RFI 1261 TA101 invalid if ISA13 invalid
|
741 |
999 - RFI 1262 999 with an invalid AK101
|
742 |
999 - RFI 1263 GS08 can create invalid 999
|
743 |
999 - RFI 1264 Invalid GS08, needs 999 code
|
744 |
999 - RFI 1266 999 with an invalid AK102
|
745 |
999 - RFI 1267 999 with an invalid AK202
|
746 |
999 - RFI 1268 999 with an invalid AK201
|
747 |
999 - RFI 1269 999 with an invalid AK203
|
748 |
Define Requirements around III Segment or Remove from 6020
|
749 |
Advanced Billing Concept Codes (ABC) RFI 901/902
|
750 |
Add Plan Participation Code in Loop 2320 (OI05)
|
751 |
Update Assistant Surgeon example for 837D Loops 2330H and remove 2 value from NM102
|
752 |
RFI 1353 Total Non-covered Amount
|
753 |
Request DM to add data element 1359 to the OI Segment
|
754 |
Support ICD-10 Code Set Use
|
755 |
DSMO Request 1158
|
756 |
837: Retail Charges vs Non-retail Charges
|
757 |
Change Pay to Plan NM101 value from PE to PTP
|
758 |
Change Situational Rules for Loops 2300 and 2400, Data Elements CR101 and CR102
|
759 |
Change Situational Rule for 2300/2400 CR109 from Note 871 to Note 4448
|
760 |
Remove 9 Digit ZIP Requirement
|
762 |
Convert Present on Admission Indicator to an External Code List
|
763 |
DSMO Request 1161
|
764 |
Revisit all provide REF segments to ensure (where appropriate) we eliminate the possibility of receiving an empty NM1 Segment on claims
|
785 |
X259 Loop 2300/CN1 Change all Element Situational Rules and add TR3 Note
|
786 |
X290 Section 1.3 conflicting sentence
|
787 |
X290 Section 1.4 Awkwardly worded paragraph
|
788 |
X290 Section 1.4 Incorrect document title for ARM
|
789 |
X290 Section 1.6 Purpose of Acknowledgement clarification
|
790 |
X290 Section 1.5: Clarify Reference
|
791 |
X290 Section 1.9 Reference to X12.6
|
792 |
X290 Section 1.9 Incorrect document title for ARM
|
793 |
X290 Section 1.9 Insert IGCC
|
794 |
X290 Section 1.9.1.1 Diagram Missing Line
|
795 |
X290 IK3 CTX Business Unit Identifier TR3 note and CTX01-01 the same
|
796 |
X290 IK3 CTX Business Unit Identifier CTX01-02 when longer than 35 pos
|
797 |
X290 IK4 IK402 Situational rule
|
798 |
X290 AK2 IK4 Inconsistent loop value
|
799 |
999 - X290 Section 3.1 Typo in second sentence
|
800 |
999 - X290 IK4 IK4 TR3 example
|
801 |
999 - X290 IK303 loop identifier too short
|
802 |
999 - X290 IK303 Request for Change: 999 IK3-03
|
803 |
X260 & X262 Loop 2300 CL1 Correct Segment Example
|
804 |
X259 Loop 2300/2400 CR106 Add Data Element Note for decimal clarification
|
805 |
X259 Loop 2300 CRC Ambulance Certification Situational Rule Change
|
806 |
X259 Loop 2300 CRC Homebound Indicator Add N code value to Code LIst
|
807 |
X261 Loop 2300 DN1 Change Segment Name to coincide with Implementation Name
|
808 |
X259 & X261 Loop 2300 Accident Date and X259 Onset of Current Symptom or Illness Date Situational Rule Change
|
809 |
X259 Loop 2300 Admission Date Situational Rule Change
|
810 |
X260 & X262 Loop 2300 Admission Date/Hour Multiple Changes Needed
|
811 |
All 837 Claim Guides Loop 2300 Shared TR3 Note Change - Multiple Segments
|
812 |
X261 Loop 2300 Applicance Placement Date Segment Name Change
|
813 |
X259 & X261 Loop 2300 Accident Date Grammatical Correctiont to Situational Rule
|
814 |
X259 Loop 2300 Discharge Date Situational Rule Change
|
815 |
X259 Loop 2300/2400 Prescription Date - Situaitonal Rule Change and TR3 Note Removed
|
816 |
All 837 Claim Guides Loop 2300 HCP06and HCP07 - Change to Not Used
|
817 |
X259 Loop 2300 HCP03 - Change Industry Name
|
818 |
X259 Loop 2300/2400 HCP Segment - Remove TR3 Note 2
|
819 |
X259 Loop 2300 HCP Claim Pricing/Repricing Information - HCP01 Remove code value 06 Per Diem Pricing
|
820 |
X259 Loop 2300 HI Health Care Diagnosis Code - HI07-01 Remove BF Code Value
|
821 |
X262 Loop 2300 HI Principal Procedure Information - Remove TR3 Note
|
822 |
X260 Loop 2300 Principal Procedure Information - HI01-01 Typographical error in CAH code note
|
823 |
X259 Loop 2300/2400 K3 File Information - Correct format of Situational Rule and Industry Name
|
824 |
X259 Loop 2300 Claim Information - CLM08 Clarify Code Note for N code value
|
825 |
X259 and X261 Loop 2300 CLM Claim Information - CLM11-04 Grammatical correction
|
826 |
X259 Loop 2300 CLM08 - Code Note for W code value
|
827 |
All 837 Claim Guides Loop 2300 CLM Segment - Change "Dependent" Reference to "Patient"
|
828 |
X259 Loop 2300 & 2400 Prescription Date - Change Situational Rule
|
829 |
X261 Loop 2300 NTE Claim Note - Change Example to be Dental Specific
|
830 |
All 837 Claim Guides Loop 2300 PWK - Remove the word "Amount" from the Segment Name
|
831 |
X259 Loop 2300 REF Care Plan Oversight - Change Example to contain an NPI
|
832 |
All 837 Claim Guides Loop 2300 REF Claim Identifier for Transmission Intermediaries
|
833 |
X261 Loop 2300 REF Dental Readiness Classification Code - Change grammatical error in Situational Rule
|
834 |
X259 & X260 Loop 2300 REF Prior Authorization - Clarify TR3 Note
|
835 |
All 837 Claim Guides Loop 2300 REF Prior Authorization - Change Situational Rule
|
836 |
All 837 Claim Guides Loop 2300 REF Referral Number - Situational Rule Change
|
837 |
All 837 Claim Guides Loop 2320 AMT Patient Remaining Liability - Change TR3 Note
|
838 |
All 837 Claim Guides Loop 2320 AMT Patient Remaining Liability - Change Situational Rule
|
839 |
All 837 Claim Guides Loop 2320 MOA Outpatient Adjudication Information - Change Situational Rule and add new TR3 Note
|
840 |
All 837 Claim Guides Loop 2320 OI Other Insurance Coverage Information - Change OI04 and OI06 to Not Used
|
841 |
X259 Loop 2400 CR1 Ambulance Transportation Information - Change Situational Rule for CR101 and CR102
|
842 |
X259 Loop 2400 CR1 Ambulance Transportation Information - Change Segment Situational Rule
|
843 |
X259 Loop 2400 CR3 Durable Medical Equipment Information - Change Situational Rule
|
844 |
X259 Loop 2400 CRC Condition Indicator/Durable Medical Equipment - Change Situational Rule
|
845 |
X259 Loop 2400 Begin Therapy Date - Change Situational Rule
|
846 |
X259 Loop 2400 Last Certification Date - Change Situational Rule
|
847 |
X259 Loop 2400 Certification Revision/Recertification Date
|
848 |
X259 Loop 2400 Last Seen Date - DTP03 Industy Name Change
|
849 |
X259 Loop 2400 Prescription Date - Change TR3 Note
|
850 |
X259 Loop 2400 Service Date - Correct Situational Rule Formatting
|
851 |
X260 Loop 2400 Service Line Date - Multiple Changes
|
852 |
X259 Loop 2400 MEA Test Result - Change Situational Rule
|
853 |
X259 Loop 2400 PWK Durable Medical Equipment Certficate of Medical Necessity - Change Situational Rule
|
854 |
X259 Loop 2400 QTY Ambulance Count - Remove TR3 Note
|
855 |
X259 Loop 2400 REF Adjusted Repriced Line Item Reference Number - Change Situational Rule
|
856 |
x259 Loop 2400 REFs for Prior Authorization and Referral Number - Change Segment Repeat Count
|
857 |
All 837 Claim Guides Loop 2400/2420 - REF04-02 Element Note Change in Multiple Locations
|
858 |
X259 Loop 2400 Prior Authorizatoin Number - Add TR3 Note
|
859 |
X259 Loop 2400 SV1 Professional Service - SV101-07 Situational Rule Change
|
860 |
X259 Loop 2400 SV1 Professional Service - SV121 (Modified Charge Indicator) Usage Change
|
861 |
X260 Loop 2400 Institutional Service Line - SV202-07 Situational Rule Change
|
862 |
X260 Loop 2400 SV2 Institutional Service Line - Situational Rule Change
|
863 |
X261 Loop 2400 SV3 Dental Service - Change Segment Example
|
864 |
X261 Loop 2400 TOO Tooth Information - Change TR3 Note
|
865 |
X261 Loop 2400 TOO Tooth Information - Situational Rule Change
|
866 |
X259 Loop 2400 SV1 Professional Service - SV102 Element Note Change
|
867 |
All 837 Claim Guides Loop 2430 SVD Line Adjudication Information - SVD03-03 Situational Rule Change
|
868 |
X259 Loop 2430 Line Adjudication Information - TR3 Note Change
|
869 |
All 837 Guides Multiple Loops PER Contact Information - Change TR3 Note
|
870 |
X262 Loop 2000B SBR Subscriber Information - Add TR3 Example for Source of Payment Typology
|
871 |
All 837 Claim Guides Loop 2010AB N3 Pay-to Address - Add Street Address Example
|
872 |
All 837 Guides Loop 2000C HL Patient Level - Change Code Note for Code Value 23 (Dependent)
|
873 |
X259 Loop 2010AA Billing Provider Name and Billing Provider Tax Identification - Change to TR3 Notes referencing Tax ID
|
874 |
All 837 Claim Guides Loop 2010AA N3 Billing Provider Address - Add TR3 Note
|
875 |
All 837 Claim Guides Loop 2010AA PER Billing Provider Contact Information - Change Situational Rule
|
876 |
X261 Loop 2010AA PRV Billing Provider Specialty Information - Change TR3 Example
|
877 |
All 837 Guides Multiple Loops, Multiple Provider Secondary Identification Numbers - Change A6 Code Note
|
878 |
All 837 Claim Guides Loop 2010AC Pay-to Plan Name - Remove TR3 Note
|
879 |
All 837 Guides Loop 2000BA Subscriber Name - Add TR3 Notes
|
880 |
All 837 Claim Guides Loop 2010BA/2330A Subscriber Name - Change NM108 Code Note
|
881 |
All 837 Claim Guides Loop 2010BA Property & Casualty Claim Number - Add TR3 Note
|
882 |
X262 Loop 2010CA REF Property & Casualty Patient Identifier - Change Segment Name
|
883 |
X261 Loop 2310A Referring Provider Name - Remove TR3 Note 2
|
884 |
X259 and X261 Loop 2310A REF Referring Provider Secondary Identification - Remove DN/P3 Code Notes
|
885 |
X261 Loop 2310A Referring Provider Name - Add TR2 Note
|
886 |
X261 Loop 2310A Referring Provider Secondary Identification - Remove TR3 Note
|
887 |
X259 and X262 Loop 2310 Multiple Provider Name - Change TR3 Note
|
888 |
All 837 Claim Guides Loop 2310 Service Facility Location Name - Change NM103 to Situational
|
889 |
All 837 Claim Guides Loop 2310/2420 Service Facility Location - Change Segment Names to "Service Location" NM1, N3, N4, REF, associated Implementation Names and Rules/Notes that mention this provider type
|
890 |
X259 Loop 2310C Service Facility Location Name - Change Situational Rule to address NPI
|
891 |
X259 & X261 Loops 2310/2420 REF Service Facility Location Secondary Identification - Change Situational Rule
|
892 |
X260 Loop 2310D Rendering Provider Name - Change Situational Rule
|
893 |
X259 Loop 2310E Ambulance Pick-up Location - Change Situational Rule
|
894 |
X259 Loop 2330A NM1 Other Subscriber Name - Change NM108 "MI" Code Note
|
895 |
All 837 Claim Guides Loop 2330A NM1 Other Subscriber Secondary Identification - Change Segment Name and Implementation Name
|
896 |
All 837 Claim Guides Loop 2330B/2430 DTP Claim Check or Remittance Date - Change Implementation Name
|
897 |
All 837 Claim Guides Loop 2330B REF Other Payer Claim Control Number - Change F8 Code Note
|
898 |
X259 & X260 Loop 2330B REF Other Payer Prior Authorization Number - Add TR3 Note
|
899 |
All 837 Claim Guides Loop 2330B REF Other Payer Secondary Identifier - Remove REF02 Element Note
|
900 |
All 837 Claim Guides Loop 2330B Other Payer Claim Control Number - Change Situational Rule
|
901 |
X259 & X261 Loop 2330C NM1 Other Payer Referring Provider - Remove NM1010 DN/P3 Code Notes
|
902 |
X259 Loops 2330C Other Payer Referring Provider Secondary Identification and 2330E Other Payer Service Facility Location Secondary Identification - Remove TR3 Note
|
903 |
X262 Loop 2420A NM1 Operating Physician Name - Correct TR3 Example
|
904 |
All 837 Claim Guides Multiple 2420 Provider Loops - Add Note to A6 Code Value
|
905 |
All 837 Guides Multiple Loops for Provider Secondary Identification - Correct Typographical Error
|
906 |
X261 Loop 2420B REF Assistant Surgeon Secondary Identification - Change TR3 Note
|
907 |
X259 Loop 2420E NM1 Ordering Provider Name - Remove NM101 Element Note
|
908 |
X259 Loop 2420E N3, N4, PER Ordering Provider Loop - Change Situational Rules to use DME instead of DMERC
|
909 |
X259 Loop 2420F NM1 Referring Provider Name - Remove DN/P3 Code Notes and add TR3 Note
|
910 |
X259 Front Matter Section 1.10 National Provider Identifier Usage within the HIPAA 837 Transaction - Change Section 1.10.2
|
911 |
X259 & X260 Front Matter Section 1.11 Coding of Drugs in the 837 Claim
|
912 |
All 837 Guides Front Matter Section 1.12 Additional Instructions and Considerations - Remove Section 1.12.5 Claim and Line Redundent Information
|
913 |
X259 Front Matter Section 1.4 Business Usage - Clarify 1.4.2.2 Coordination of Benefits Form Paper or Proprietary Remittance Advice
|
914 |
X259 Front Matter Section 1.4 Business Usage - Correct Examples in Section 1.4.2.3 Bundling with COB more than 2 Payers
|
915 |
X259 Front Matter Section 1.4 - Section 1.4.2.3 COB Service Line Procedure Code Bundling and Unbundling, Update CARC descriptions
|
916 |
X260 Front Matter Section 1.4 Business Usage - Section 1.4.5.1 Claim Level Balancing
|
917 |
X259 Front Matter Section 1.4 Business Usage - Change last sentence of 1.4.5.1 Claim Level Balancing
|
918 |
X259 Front Matter Section 1.4 Business Usage - Section 1.4.3 typographical error
|
919 |
All 837 Claim Guides Front Matter Section 1.4 Business Usage - Replace Section 1.4.3 Property and Casualty
|
920 |
All 837 Claim Guides Front Matter Section 1.4 Business Usage - Change last bullet of Section 1.4.4.2.2.4 Hierarchical Level (HL) Structural Summary
|
921 |
All 837 Claim Guides Front Matter Section 1.4 Business Usage - Update 2nd Paragraph under 2) in Section 1.4.5.1
|
922 |
X259 & X261 Front Matter Section 1.4 Business Usage - Update Deductible reference in Section 1.4.2.3 Coordination of Benefits - Service Line Procedure Code Bundling and Unbundling
|
923 |
All 837 Claim Guides Front Matter Section 1.4 Business Usage - Remove Bullet under 1.4.2.3 Coordination of Benefits - Service Line Procedure Code (Bundling:)
|
924 |
X259 and X261 Front Matter Section 1.4 Business Usage - Update RAS information in Unbundling Example in Section 1.4.2.3
|
925 |
837 Section 1.5 Business Terminology: Encounter Definition
|
926 |
X261 Front Matter Section 1.5 Business Terminology: Secondary Payer Definition
|
927 |
X262 Appendix A - Remove Code Source 513 (HIEC Codes)
|
928 |
X259 Section 3 Examples - Correct DTP02 to "D8" in Example3.1
|
929 |
X259 Section 3 Examples - Correct DTP02 to "D8" in Example3.1
|
930 |
X262 Section 3 Examples - Correct Typographical errors
|
931 |
All 837 Claim Guides Table 1 BHT Beginning of Hierarchical Transaction - Change Code Note for Code Value 31
|
932 |
X262 Table 1 BHT Beginning of Hierarchical Transaction -
|
933 |
837 Institutional & Reporting Guide - Correct Terminology for BBQ and BBR Qualifier for DE 1270
|
934 |
824 X257 Section 1 incorrect reference to ARM
|
935 |
824 X257 Section 1.4 incorrect reference to ARM
|
936 |
824 X257 Section 1.10 Update content to refer to X12.6
|
937 |
WPC tesitng workgflow
|
938 |
checking channels are open
|
939 |
Troubleshoot email
|
940 |
837 Professional and Dental Guides - Find a permanent home for Service Authorization Exception Code at the claim level
|
941 |
All 837 Guides add ME (Medicare Advantage Plan) code value to Loop 2000B and 2320 SBR09
|
942 |
All 837 Guides add new code value to Loop 2000B and 2320 SBR09 for "Unknown"
|
943 |
All 837 Claim Guides - Add RAS Example to show multiple remark codes
|
944 |
All 837 Claim Guides - Change Code Source 530 Description (DE 1270)
|
945 |
All 837 Claim Guides - Change Code Source 582 Description (DE 1270)
|
946 |
All 837 Claim Guides - Change section 1.12.2 Rejecting Claims Based on the Inclusion of Situational Data
|
947 |
All 3 278s PER segments will allow a contact name and contact communication number to be sent.
|
948 |
837P & 837D Sections 1.4 and 1.5: Add Factoring Agent and Predetermination
|
949 |
All 278s 2010F/NM101 Need ability to capture the Admitting provider role at the Service Level
|
950 |
Common Content Section 2.2.1.1 Transaction Compliance Related to Industry Usage - TR3 Compliance with Situational Rules
|
951 |
837 Professional Guide - CRC01 (DE 1136) Change code value from ZZ to EP
|
952 |
837I, 276/277, 277CA, 277Pend - Update guides to include a specific entity identifier for Other Operating Physician
|
953 |
X266 Loop 2000E/CR6 Update TR3 Note for ICD-10
|
954 |
Add the CR8 segment to All 278s.
|
955 |
All 278s 2010 EB N404 Modify the Patient Event Transport Information to allow for International Addresses
|
956 |
278 - 2010EC/N401/402/N403 Modify the situational rules so that they are consistent to return the address information.
|
957 |
All 278s 2010 EA/PRV01 Add ‘H’ for Hospital to the value list
|
958 |
All 278s 2000E/HI Clarify the intention and use of the HI segment used to capture the diagnosis
|
959 |
All 278s 2000F/SV1/SV2 Clarification of how to capture drug requests within the 278 by adding a TR3 note
|
960 |
All 278s 2010 EB/N3 Flexibility needed for N3 to describe an address when there is no actual street address available
|
961 |
All 278s 2000C/NM108 Evaluate the code note for MI for the Member Identification Number and mirror claims if applicable
|
962 |
All 278s 2000C NM1, Section 1.4, Chapter 3 Update 278 guides to support Workman's Compensation Utilization Management requests
|
963 |
278 Evaluate NM101 and PRV01 values for all guides
|
964 |
278 - X266 1.4.1 Heath Care Transaction Flow Wording Change
|
965 |
278 - Provider NM106 Situational Rule Validation
|
966 |
278 - X266 2000E/CR6 Change to TR3 Note
|
967 |
278 - X266 2000E CRC 1321 Condition Code/Indicator Value List
|
968 |
278 - X265/X266 Section 3 Examples
|
969 |
All 278 2000C Modification to Support Workers Compensation
|
970 |
All 278 2000EA/F NM101 Code Set Modification
|
971 |
278 - X266 2000E/HSD05 Word Change
|
972 |
278 Request/Response Chapter 3.6.2, Modify the dates in the example for 2000F for a Medical Service Reservation
|
973 |
278 Request/Response Chapter 3.6.1, Modify the dates in the example for 2000F for a Medical Service Reservation
|
974 |
278 - 2000F DRA TR3 Example Not Present in all 278 guides
|
975 |
278 - X266 2000E CR6 Example Needs Update
|
976 |
278 - X266 3.5.1 Request for Non-Emergency Transportation 2000C HL Example
|
977 |
278 - X266 3.5.1 Request for Non-Emergency Transportation 2000E DTP Example
|
978 |
278 - X266 3.5.2 Response to Non-Emergency Transportation Table 1 BHT Example
|
979 |
278 - X266 3.5.2 Response to Non-Emergency Transportation 2000C HL Example
|
980 |
278 - X266 3.5.2 Response to Non-Emergency Transportation 2000E DTP Example
|
981 |
278 - X266 3.6.1 Request for Medical Services Reservation Table 1 BHT Example
|
982 |
278 - X266 3.6.1 Request for Medical Services Reservation 2000C HL Example
|
983 |
6020x275 Errata - Add. REF segments to synch with 277 x268
|
984 |
275 Claim Attachment and 277RFI - Electronic Submission of Medical Documentation (esMD)
|
985 |
Typographical errors
|
986 |
824 X257 Section 1.1 paragraph 5, first sentence change
|
987 |
824 X257 Section 1.1 paragraph 5, next to last sentence, delete 997
|
988 |
824 X257 Section 1.4 paragraph 1, first sentence, delete '997 or'
|
989 |
824 X257 Section 1.10.1.1 remove the 'X12 Standard Conformance' column of the diagram.
|
990 |
824 X257 Section 1.10.1.1 paragraph 2, note indicator 1 and note.
|
991 |
824 X257, OTI03 Removing development related note
|
992 |
837 Professional Guide - Removal of the 2400 - CRC - Hospice Employee Indicator
|
993 |
837 All Claim Guides - Change Loop 2330A/N4 Other Subscriber, City, State, ZIP Code Situational Rule
|
994 |
All 837 Claim Guides - Other Payer Claim Adjustment Indicator
|
995 |
837 Professional Guide - Correct Loop 2300/CN1 Situational Rule and all CN1 Element Situational Rules
|
996 |
837 Professional and Dental Guides - Change Situational Rule Sub-element references for CLM11 in Accident Date Segment
|
997 |
837 Professional Claim - Increase Diagnosis Code Repeat to more than 12
|
998 |
All 837 Transactions Allow Redundant Data at the Claim and Service Line Levels
|
999 |
ST02 Notes Consolidation
|
1000 |
837 Institutional and Professional Guides - Add BHT01 Note
|
1001 |
835 Other Claim Related Idenfication Number Social Security Value
|
1002 |
All transactions with N404 (Country Code) - Modify situational rule to accommodate US territories
|
1003 |
837 Institutional Guide - Change Loop 2300 HCP06 and HCP07 from Not Used to Situational
|
1004 |
837 Professional and Dental Guides - Add Loop 2300 TR3 Note for claim versus line override
|
1005 |
AMT Purchased Service Amount - inconsistent in prof, doesn't match inst or dental
|
1006 |
835 Claim Payment - Request to add Inpatient Indicator
|
1007 |
835 Claim Payment - MIA and MOA Claim Payment Remark Codes
|
1008 |
All 837 Claim Guides - Remove Note: under Section 1.4.4.2.2 Table 2 - Detail Information
|
1009 |
All 837 Guides - Change last sentence of first paragraph under Section 1.4.4.1 Loop Labeling, Sequence, and Use (837D/I/P) and Section 1.4.2.1 in (837R)
|
1011 |
Section B.1.3.2 and B.1.1.4 are not consistent.
|
1012 |
Resolve Discrepancy in Common Content sections B.1.1.3 and B.1.1.4
|
1013 |
Dollar Amount Elements
|
1014 |
Correct section 1.4.2.1.6 of the X306 820 HIX guide
|
1015 |
All guides - Add capability to report HPID and modify any additional verbiage associated with HPID.
|
1016 |
All guides - Add capability to report OEID (for non-atypical health plans) and add any verbiage associated with OEID.
|
1017 |
All guides - Add capability to report OEID (for atypical providers) and add any verbiage associated with OEID.
|
1018 |
837 Institutional and Professional Guides - Correct Service Predetermination Segment Repeat and REF04-02 Industry Name
|
1019 |
Provider Assigned Claim Number REF - change qualifier and notes
|
1020 |
DSMO 1178 - All 837 Claim and PACDR guides - add code value FR to CN101
|
1021 |
X268 Front Matter Section 1.4 / Remove 997 reference from figures 1.1 & 1.2
|
1022 |
275 Additional Information to Support a Healthcare Services Review - Add Loop 1000C REF for Property & Casualty Claim Number
|
1023 |
278 Notification Loop 2010E- add code value 45 to AAA03
|
1024 |
278 Request/Response - Modify Section 1.12.5.2 with text and examples to allow a Payer to return an attachment with the response.
|
1025 |
278 Notification Loop 2010EC - Allow the Patient Event Transport Information loop to be returned in the response
|
1026 |
275 6020 Additional Info to Support Healthcare Claim or Encounter - addition of REF - Property & Casualty Claim Number
|
1027 |
275 - Additonal Information TR3's - HI composites need ending instruction
|
1028 |
837 Claim Guides - Add Implementation Name to Loop ID 2320 OI05 (Provider Agreement Code)
|
1029 |
Member information for state reporting purposes
|
1030 |
837 Professional Claim - Change Situational Rule Loop 2410 LIN Segment
|
1031 |
Membership Information for State Reporting
|
1032 |
835 - Source of Payment Typology Code.
|
1033 |
CARC/RARC TR2 - Update Jan 2012
|
1034 |
835 Claim Payment - Revision to the Overpayment Recovery front matter
|
1035 |
835 Claim Payment - CLP02 value when the payer is NOT primary
|
1036 |
835 Claim Payment - MIA use of Inpatient units element
|
1037 |
Incorporate Real Time Instructions
|
1038 |
835 Claim Payment - CDHP, HRAs, HSAs in the 835 transaction
|
1039 |
835 Claim Payment - PLB segment changes for adjustment reason codes
|
1040 |
835 Claim Payment - Add TOO segment to the 835 transaction
|
1041 |
835 Claim Payment - Update old CARC/RARC and Dates in Examples
|
1042 |
835 Claim Payment - Add indicator for type of claim (institutional, professional, dental) submitted.
|
1043 |
835 Claim Payment - Add more iterations of the NM1 segments in the 835 loop 2100
|
1044 |
835 Claim Payment - CLP02 new qualifiers for reversal and secondary claim, reversal and tertiary claim.
|
1045 |
835 Claim Payment - Remove the REF Version ID segment from Header loop
|
1046 |
835 Claim Payment - Include additional qualifiers in the AMT segment for other types of tax
|
1047 |
835 Claim Payment - CLP11 composite element
|
1048 |
835 Claim Payment - QTY balancing - include implicit directions
|
1049 |
837 Claim Payment - Reversal claims - list of all elements that are included in reversal claim
|
1050 |
837 PACDR Guides - Correct Loop 2330C NM1 and REF Implementation Names
|
1051 |
Create new TR3 for Electronic Service Information Discovery
|
1052 |
X12 Transaction Tracking Audit ID
|
1053 |
837 Institutional and Professional Guides Loop 2410/CTP04 – Change Implementation Name
|
1054 |
270 - Correction of Error, 2100 AAA03 of 'OV'
|
1055 |
835 Claim Payment - Update BPR to support $0 payments with EFT transactions
|
1056 |
835 Claim Payment - Clarify usage of BPR03=D / Debit Transactions
|
1057 |
835 Claim Payment - Add Mode of Delivery - Paper or Electronic
|
1058 |
837 Institutional and Professional - Request to change name of EPSDT Referral segment
|
1059 |
Request to use K3 Segment
|
1060 |
835-Establish limit for CLPs per transaction set
|
1061 |
275 - Attachments TR2
|
1063 |
835 - Add clearinghuse versus direct delivery for how the claim was submitted
|
1064 |
835 - Allow Credit Card Payments in the 835
|
1065 |
835-Enhance guidance on COB for line level secondary payments
|
1066 |
835 - Front Matter section 1.10.2.11 Enhance directions for procedure code
|
1067 |
835 - Revise Correction & Reversal Front Matter Section 1.10.2.8
|
1068 |
835-Review examples in Section 3
|
1070 |
835 - Front Matter Section describing detail on NO PAY situations
|
1072 |
835 - must be TR3 compliant regardless of the claim source
|
1073 |
835-New Front Matter Section Describing HIPAA Requirements for providing 835
|
1074 |
835-Section 1.10.2.22 Billing Provider as Payee Additional Guidance
|
1075 |
835 - reorganize all Front Matter sections
|
1076 |
835-Front Matter Section on handling out of balance situations
|
1077 |
835 - Section 1.10.2.24 revisions
|
1078 |
835 - Need direction on Bonus and Penalty usage
|
1079 |
Add Clarification on RAS Composite Elements
|
1080 |
835 - One claim, allow the both institutional and professional claim related data
|
1081 |
835 - NM1 Subscriber TR3 Note - ensure the intent matches the 837
|
1082 |
835 - Corrected Patient/Insured - Add Implementation Name/Definition and update rules
|
1083 |
835-PLB Capitation codes - remove the restriction on some codes
|
1084 |
835 - Expand front matter section for use of PLB code FB
|
1085 |
835 - REF Service Identification - add usage notes for codes E9 and G3
|
1086 |
835 - REF Qualifier G1 - revise code value note
|
1088 |
835 Section 1.10.2.11 Split Claims and restriction on useage
|
1089 |
835 - Clarify TS3 Totals
|
1090 |
835-DSMO request 1173 to add monetary elements back to TS3 segment
|
1091 |
835 - Modify Section 1.10.2.6 Bundling for non-paying service lines
|
1092 |
835 - SVC Units note make consistent with 837 note
|
1093 |
all books - Standard use of UNITS
|
1094 |
835 - Section 1.10.2.7 Predetermination revisions
|
1095 |
835 - DTM Claim Received Segment - modify situational rule
|
1096 |
835 - Update section 1.10.2.13 for use of OA-23
|
1097 |
835-Front Matter / Clarification for "Public Goods Funds", i.e. Bad Debt
|
1098 |
835 and 837 - remove CR Claim Status Code
|
1099 |
835-Update usage of PER to allow for secure websites
|
1100 |
835-Remove AMT T2 qualifier
|
1101 |
835 - Add Element Note to 1000A N102 with CCD+ Name requirement
|
1102 |
835 - TIN required in the 835 when NPI is primary ID
|
1103 |
835-Review Balancing Section for Professional Claims
|
1104 |
278 - Transport Location Categories
|
1105 |
835 - Diagnostic Related Group Code Situational Rule
|
1106 |
ICM03 - Member Income Segment
|
1107 |
Prior Incorrect Member Implementation Name
|
1108 |
Using a general segment/element to accomodate data needed but not explicitly defined in the TR3
|
1109 |
HL01 - Hierarchical ID Number
|
1110 |
X307 (HIX 834) Loop 2000 Coverage Specific Issuer Assigned (REF)
|
1111 |
INS04 - Maintenance Reason Code - Update Situational Rule
|
1112 |
2100A/NM108 - SSN Qualifier Note
|
1113 |
2100F/Custodial Parent 1st Name
|
1114 |
Allow for More Contacts in PER Locations
|
1115 |
Pregnant Indicator
|
1116 |
Add dates to HLH - Health Related Code
|
1117 |
HLH - Situational Rule Change
|
1118 |
Remove 997 Reference From Front Matter
|
1119 |
Differentiate the Patient Account Number and the Provider Assigned Claim Identifier
|
1120 |
Add Clearinghouse Entity to Claim Status Guides at Claim & Service Levels
|
1121 |
277CA - Require Accepted Claim Number
|
1122 |
278 - Health Care Services Review - Request for Review and Response: Requester Name is not aligned between the request and response.
|
1123 |
837 All Claim Guides - Change SVD01 DE to match SBR01
|
1124 |
278 - X278 Request and Notification, CR6 TR3 note specifies icd9 principal DX - no mention of icd10. Remove TR3 Note
|
1125 |
278, all guides add dental examples to section 3
|
1126 |
X278 Notification, Section 1.4.1, Should be plural at the end of the sentence. "business functions supported by the ASC X12 health care implementation guides." change guide to be plural
|
1127 |
278 - X278 Request, Section 2.4 2000E HSD05. Situational Rule type "timeframe". Change to "time frame".
|
1128 |
X278 Request, Section 3.4.1 Patient Event level, add day and month to comment. CR6*1*20130502*RD8 *20130502-20130801***W*I~
|
1135 |
837P, 837D, 835 - Rendering provider changes
|
1137 |
837 - All Claim Guides - Remove Claim Adjustment Group Code "CR" from the 837 guides.
|
1138 |
835 - Allow PER segment to report a secure web site
|
1139 |
835 - Remove qualifier T2 from the AMT segment at both the 2100 and 2110 loops
|
1140 |
835 - Section 1.10.2.8 Reversal and Correction to clarify the order of R&C
|
1141 |
Include 'Syntactical Errors' in the Purpose and Scope
|
1142 |
999 - X12C suggested change to reference to standard
|
1143 |
999 - X12C suggested change to clarify industry related verbiage
|
1144 |
999 - X12C changes to verbiage for the related transactions
|
1145 |
999 - X12C request to use the diagram 1b from ARM
|
1146 |
999 - X12C suggested verbiage change for ST gray box note
|
1147 |
999 - X12C suggested verbiage change to clarify 35 character limitation
|
1148 |
999 - X12C suggested change to IK402 situation rule verbiage
|
1149 |
999 - X12C request to add examples that show RFI related acknowledgements.
|
1150 |
All 5010 TR3s - HPID/OEID requirements to align with final rule
|
1151 |
271 - Response Must Address Date sent in 270 Request
|
1152 |
834 Data Dictionary
|
1157 |
Modify Attachments tx (X275) to accommodate HPID/OEID requirements to align with final rule
|
1158 |
Modify Health Insurance Exchange Related Payments to accommodate HPID/OEID requirements to align with final rule
|
1159 |
Modify 5010 non HIPAA transactions to align with HPID/OEID requirements
|
1160 |
Update current products in development & all future txs to accommodate HPID/OEID
|
1161 |
DSMO Request 1185
|
1164 |
835 BPR01 - Transaction Handling Code - Value K - Reimbusement to Follow
|
1173 |
837 All Guides - Change CLM01 Element Note 3
|
1174 |
835 - Facility Type Code maximum increased.
|
1175 |
835 - Add transition language to CLP02 Code 'RO'
|
1176 |
835 - DRG Codes length
|
1177 |
835 - Subscriber Primary Identifier typographical error
|
1178 |
835 - Subscriber Primary Identifier
|
1179 |
835 - Corrected Patient/Insured Name
|
1180 |
835 - Rendering Provider Primary Identifier
|
1181 |
835 - Location Identifiers
|
1182 |
835 - Corrected Payer Primary Identifier
|
1183 |
835 - Other Claim Related Information 2100 REF
|
1184 |
835 - Other Claim Related Information 2100 REF repeats
|
1185 |
835 - Statement From or To Dates clarification
|
1186 |
835 - Corrected Onset of Current Symptoms or Illness
|
1188 |
Service Provider Name Entity Type Code
|
1189 |
276/277 - Service Date
|
1190 |
276/277 - Status Code (STC)
|
1191 |
276/277 - Service Status Line Information
|
1192 |
276/277 - Pre-determination of Benefits Indicator
|
1193 |
278 - Requester Primary Identifier (2010B NM108)
|
1194 |
278 - Diagnosis Type Code
|
1195 |
270/271 - Quantity Qualifier (EB09) NP – Number of Members
|
1196 |
276/277 - Status Code (STC)
|
1197 |
278 - Drug Unit or Basis for Measurement Code (DRG04)
|
1198 |
270/271 - MPI- Subscriber Military Personnel Information
|
1208 |
278 - Demonstration Projects/Waivers
|
1210 |
837 Dental Guide - Change Name for Section 1.12.2
|
1214 |
837 all claim guides - Payer Address and Other Payer Address not Allowed unless the Claim is to be Printed to Paper and Mailed to the Payer
|
1215 |
837 all guides - Subscriber Group Name not Allowed when the Group/Policy Number is Reported
|
1216 |
837 Institutional Guide - Remove references to Inpatient/Outpatient in Situational Rules and point to UB Manual
|
1217 |
837 Institutional Guide - Service Line Date only Allowed for Outpatient Claims
|
1219 |
270/271 - New Insurance Type Code - Open Access POS
|
1221 |
270 EQ02 - Add Procedure Code Range End and 4 Procedure Codes
|
1223 |
278, 270/271 - Loosen Restrictions on AAA/ECL AAA03?
|
1224 |
270/271 - Reduce Repeats of Procedure Code Elements to a Reasonable Number
|
1230 |
837s: Add Allowed Amount
|
1233 |
270/271 - Section 1.4.2 Accumulator and lifetime limits history of benefit use?
|
1234 |
Allow External Code lists for "Other Industry" Remark Codes
|
1235 |
270/271 - Section 1.4.4 TA1 generation - Batch Mode
|
1236 |
All Guides - Review/Modification of Loops, Segments, Elements and Codes for version transition where applicable
|
1237 |
270/271 - 6020 Requirements - 1.4.8.1.4 minimum of 10 service type code support requirement
|
1238 |
270/271, 278 - The unusability of the HSD segment
|
1239 |
271 BHT03 Semantic Note and Element Note do not agree
|
1240 |
270/271 - Section 1.4.8.2.8 - Align Service Type Codes listed to those mandated by CAQH Federal Operating Rules
|
1241 |
270/271 - Create a name for the list of benefits catalogued in Section 1.4.8.2.8
|
1242 |
270/271 EQ01/EB03 length issue
|
1243 |
270/271 - EQ01 Service Type Code duplication
|
1244 |
270/271 - Section 1.4.4 duplicates other sections
|
1245 |
270/271 - 1.4.8.2.1 - Date of Death required
|
1246 |
270/271 - Section 1.4.9.3 - Name/Date of Birth Search Option clarify
|
1247 |
270/271 - Section 1.4.9.4 - Member ID Number/DOB Search Option
|
1248 |
837 all claim guides - Allowed Amount/Other Insurance Allowed Amount
|
1249 |
837 all claim guides - Final Net Allowed Amount (Approved Amount)
|
1250 |
837 all claim guides - Request new DE 1166 CN101 Contract Type code
|
1251 |
Qualify all Diagnosis Related Groups
|
1252 |
Marry segments within the 271
|
1253 |
271 - Add X12 HIPAA code '756', defined as 'End of Grace Period' to the DTP Date/Time Segment
|
1254 |
99 Patient Requests per batch 270
|
1255 |
1 Patient request per Real Time 270
|
1256 |
270/271 - Add Service Type 4 (Xray) to Service Type 30 Response
|
1257 |
Add Tooth Number and Surface to the 270/271
|
1258 |
TR3 for Medical Information not as Attachment
|
1259 |
Drug Formulary Technical Report
|
1260 |
Services Review Propriatary Attachment Formats
|
1261 |
Correct Grammatical Errors in CICA Document
|
1263 |
Provider Tailored Benefits-236
|
1264 |
Date Range Support-291
|
1265 |
835 - Add Support for Credit Card Payments from Health Plans
|
1266 |
270/271 - Insurance Type Codes/Product Codes as an External Code List
|
1267 |
274 - Changes for pharmacy provider enrollment
|
1268 |
835 - New code value for data element 1032
|
1269 |
270/271 - Repeating EQ01?
|
1270 |
270/271 - Enhancement to EB14 modifiers for returning benefits related to a specific diagnosis on a 271 transaction.
|
1271 |
270/271 - Enhancement needed when the optional group (policy) number is used as search criteria on the 270: Need to return new group (policy) number error messages on the 271.
|
1272 |
270/271 - Allow EB03 and EB13 to be used in conjunction with each other on a 271 transaction.
|
1273 |
270-271 - Cascading Logic described with a matrix vs. bullets
|
1274 |
837 - Add Reference for an External Code Source for Collection of Census Codes
|
1275 |
Harmonize Code Lists that Categorize Payers
|
1276 |
270/271 - Dates Before Coverage Active
|
1277 |
270/271 - Legislation and Cascading Logic Requirements
|
1278 |
835 - DM 001187 Response
|
1279 |
270/271 - TA1 Required to be Supported?
|
1280 |
270/271 - Section 1.4.4 - Batch and Real-Time Limitations on Number of Requests
|
1281 |
270/271 - Create a Used Amount Code in the Time Period Qualifier Data Element 615
|
1282 |
999 AK102 Usage When GS06/GE02 Are In Error
|
1283 |
999 AK203 usage when ST03 is invalid
|
1284 |
999 AK202 Usage When ST02/SE02 Are In Error
|
1285 |
999 AK103 Usage When GS08 Is In Error
|
1286 |
270/271 Section 1.4.2 - First sentence is dated
|
1287 |
999 AK201 Usage When ST01 Is In Error
|
1288 |
999 - TA101 Usage When ISA13 or IEA02 Is Invalid
|
1289 |
TA101 Usage When ISA13 or IEA02 Is Invalid
|
1290 |
270/271 Section 1.4.8.4 - 'Data vs. Information' Verbiage
|
1291 |
999 AK101 Usage When GS01 Is In Error
|
1292 |
270/271 Section 1.4.8.2.10 & 1.4.8.2.11 - Returning Relevant Benefits
|
1293 |
270/271 Section 1.3.2 Batch & Real Time - First sentence in first paragraph of each section
|
1294 |
270/271 Section 1.4.3 - Sentence rewrite
|
1295 |
270/271 Section 1.4.2
|
1296 |
270/271 Section 1.4.4 - Proprietary Error response
|
1297 |
270/271 Section 1.4.8.2.1 - Clear definition of Terminated coverage is needed
|
1298 |
270/271 Section 1.4.8.2.1 - Providing additional information not relevent to dates requested.
|
1299 |
270/271 - Usage of EB03 with a Service Type code descriptor
|
1300 |
270/271 Section 1.4.8.2.1 - Code used doesn't describe data element correctly
|
1301 |
270/271 Section 1.4.8.2.8 - EB03 and EB13 co-usage
|
1302 |
270/271 Section 1.4.8.2.12 - data / information word consistency
|
1303 |
270/271 - Ability to respond with Alternate Benefits
|
1304 |
270/271 - Ability to Identify Benefits that are shared across ServiceTypes and Procedure Codes
|
1305 |
270/271 - Flag on benefit to recommend conducting a predetermination
|
1306 |
270/271 - Ability to Identify a collection of procedures within a service type
|
1307 |
278 - Add DRA07 and DRA08 'Y/N' Indicators
|
1308 |
Unique Device Identifier
|
1309 |
270/271 - Ability to relate a benefit to a collection of other benefits
|
1310 |
Technical Report Type 3 - Provider Electronic Data Interchange Enrollment - 838
|
1311 |
270/271 - Ability to identify tiered benefits for Network Participation and Product Line
|
1312 |
837P - Add an additional provider segment in the 837 Professional TR3 to report the substituted provider when reporting Locum Tenems as the Rendering Provider in the 2310B Loop
|
1314 |
Unique Device Identifier
|
1315 |
276/277 Subscriber Paid Claims
|
1316 |
Incorporate recommendations from v6020 public forums into ‘Common Content’.
|
1317 |
DSMO 1187 - 835 - Revise Section Section 1.10.2.13 for inconsistencies
|
1318 |
270/271 - 1.4.8.1.4 - Explicit Request for Eligibilty
|
1319 |
270/271 HPID
|
1320 |
270/271 - New value in the 271 for reporting authorization type
|
1321 |
837 Professional, Dental and Institutional - Change of situational Loop 2320/2430 AMT*EAF Remaining Patient Liability
|
1322 |
275 - Removal of UPIN from Provider Secondary Identification Segments
|
1323 |
270/271 - TRN notes
|
1324 |
270/271 - Section 1.4.3 - Funding Source
|
1325 |
Add field for version conversion
|
1326 |
835 - Inter-Governmental Transfer (IGT) Payments
|
1328 |
837 - Supply guidance in the 837 for 835 segments
|
1331 |
The 278 Notification does not support a CR109 to indicate the reason for the round trip ambulance request.
|
1332 |
278 - Common Content word clarification needed in grey note for GS01 and GS08
|
1334 |
837D - Remove the Sales Tax Amount segment from the Dental Claim
|
1335 |
834 - Race and Ethnicity Expansion Needed
|
1339 |
835 - Revise notes on CLP02 Claim Status Codes
|
1340 |
DM024112 - CICA TR3: Auto Insurance Financial Responsibilty Filing Notification
|
1341 |
Addition to P49_16 Financial Responsiblity Filing Purpose Code
|
1342 |
Payment Sequence Number in 835
|
1343 |
837 - All Claim Guides - State of Claim Jurisdiction (compliance state)
|
1344 |
State of Claim Jurisdiction (compliance state)
|
1345 |
278 - The TRN01 Code Value 2 Grey Note is misleading by using the term "originally"
|
1346 |
The TRN01 Code Value 2 Grey Note is misleading by using the term "originally"
|
1347 |
The TRN01 Code Value 2 Grey Note is misleading by using the term "originally"
|
1349 |
837 All Claim Guides - Modify claim referral number REF and Referring Provider situational rules
|
1350 |
Section 1.1 Implementation Purpose and Scope
|
1351 |
837I - Drop Patient Estimated Amount Due AMT segment
|
1352 |
Add Date/Time of Enrollment Application
|
1354 |
820: Revise Section 1.10.2
|
1356 |
Electronic Prior Authorization Process TR2
|
1357 |
270/271 - Add new error codes to Reject Reason Error Codes (AAA03)
|
1358 |
Move chapter 3 examples for all TR3s to an external website
|
1359 |
837 All Guides - Continue AMT segment capabilities for reporting taxes
|
1360 |
Maintain AMT segment capability for reporting taxes
|
1361 |
835 - Remove note 2 on PER WORKERS’ COMPENSATION PAYER WEBSITE
|
1362 |
HIX 820 Issuer Plan Identification
|
1363 |
X306 820- Modify REF "Exchange Assigned Employer Group Identifier" Situational Rule
|
1369 |
X290 Loop 2100/IK303 Remove note referring to loop identifier restiction.
|
1370 |
Remove 2100 CTX04 Note
|
1371 |
X290 Loop 2100/CTX04 Remove note referring to loop identifier restiction.
|
1372 |
X290 Loop 2110/CTX04 Remove note referring to loop identifier restiction
|
1373 |
X290 2100/CTX06: Change Situational Rule
|
1374 |
X290 Loop 2110/CTX06 Change situational rule.
|
1375 |
824 - Change CTX06 situational rule
|
1384 |
837 - Establish procedures for K3 usage approval and incorporation into future TR3
|
1385 |
Differentiate when Member has fully met Individual OOP vs. Zero accum to OOP Max
|
1389 |
278 – Providers need a way to report an Expedited request
|
1390 |
837R - 2310F — REFERRING PROVIDER NAME and 2310F Rendering Provider Name- TR3 note is wrong, (Loop 2420 doesn't exist)
|
1392 |
837P, 837D - Allow Prior Authorization number to be reported at the service line regardless if it has been reported at the claim level.
|
1395 |
1000A and 1000B N1, N3, and N4 Segment and Data Element Usage Correction
|
1398 |
Update CARC/RARC TR2 for Q1 2014 - DM A12014
|
1399 |
Add RxNorm Support to 270/271
|
1400 |
Harmonize the reporting of Diagnosis Related Group (DRG)
|
1401 |
ICD-10 Change - External Cause of Injury to External Cause of Morbidity
|
1406 |
Provide consistency and definitions for types of provider entities across guides
|
1408 |
HIX Premium Payment Grace Period Norification
|
1409 |
Correction in 837 institutional Guide
|
1410 |
X267: Disallow Negative Values
|
1411 |
Add new subsection to 835 Section 1.10 for Wire Transfer Payment & ERA Information Flow in 835
|
1413 |
837 Institutional/Reporting - Modify location of Auto Accident State Code for Consistency across TR3s
|
1414 |
835 - Front matter Delineation between different types of EFT in Section 1.10.1.3
|
1418 |
270/271 - Enhance benefit information request and response for prescription drugs
|
1419 |
837I - Change 2310D loop TR3 note #2 837R Change 2310D loop TR3 note #1
|
1421 |
835 - Loop 1000A Payer ID elements N103 & N104 - split situational rule note
|
1422 |
Require Payers to Support Procedure Codes on 270 Request
|
1423 |
Provide code usage notes
|
1425 |
Add HI Segment at the Service Level to all 278 Transactions
|
1426 |
Add HI Segment at the Service Level to all 278 Transactions
|
1427 |
835 wording in 1.10.2.10
|
1428 |
834: Allow ITIN in Loop 2100A NM109
|
1430 |
Transplant Donor Fields for 837I and 837P
|
1431 |
ONC Patient Matchinging Identification & Matching Initiative
|
1432 |
F request change to TRN
|
1433 |
Remove regulatory policy instructions from TR3s
|
1434 |
278 Provider NM101 Entty Identifier Codes Updates
|
1435 |
278 Requester Loop on the Response has a repeat of 2
|
1436 |
271 Convey Group Funding Type - Self or Fully Insured
|
1441 |
278 X315 correction to Addt'l Patient Information (Loop 2010EB)
|
1442 |
Request change to the TR3 Implementation Guide for the 835 transaction
|
1443 |
Align 820 with Language in 835 on Association of One Transaction to One Payment
|
1446 |
Easy detection of atypical providers
|
1448 |
837P CR1 segment/element notes and/or usage change
|
1449 |
835 SVC Situational Rule
|
1450 |
835 1.10.1.3 Clarify table and note
|
1452 |
835-TR3 Note 1 in 2100 NM1 Subscriber Name and NM1 Corrected Patient / Insured Name
|
1453 |
834 - Add Code ANC to HD03 Data Element 1205 Insurance Line Code
|
1454 |
837 COB linkage
|
1455 |
835- Update Implementation Name for BPR16
|
1457 |
835 - add DTP segment to the 835 transaction
|
1458 |
835-remove BPR04 note sentence on ACH, BOP, and FWT
|
1459 |
834: Require Accurate Reporting in 2100A LUI
|
1460 |
278 X315 PWK Segment in the Response - Correct Error in PWK TR3 Note 1
|
1461 |
835-Review Group Code Descriptions
|
1462 |
820 - Update BPR04 ACH, BOP & FWT Notes
|
1463 |
5010X220 has no notes in TR3 indicating no separators can be used in SS# or Employee's identification number
|
1464 |
Insurance Carrier and Lender/Tracker Request and Response
|
1466 |
835 section 1.10.2.13 defintion of CARC 23
|
1467 |
Add new binary data loop in standard to 824 TR3
|
1468 |
HCR01 code values in 278 transactions
|
1469 |
835 - Remove qualifier 4 from CLP02
|
1470 |
SVD X12 Set Note needs to be changed
|
1471 |
837 PWK02 usage
|
1474 |
6020 837P (x259) Examples to move forward for next version
|
1475 |
New Value for BPR04 to accommodate an interdepartment transfer of funds
|
1476 |
Add front matter section to point to the external acronym listing being developed by ASC X12.
|
1477 |
820: Re-evaluate Usage in the 1000A and 1000B Loops
|
1478 |
Qualifier & Code Note Synchronization
|
1481 |
837I - Remove Loop 2300 AMT-Patient Amount Estimated Due (F3 Qualifier)
|
1483 |
6020 837I (x260) Examples to move forward for next version
|
1484 |
6020 837D (x261) Examples to move forward for next version
|
1485 |
837I - Add HIxx-10 to the HI-Value Information, to be used for Value Code values that are not monetary amounts.
|
1488 |
6020 276/277 (x267) Examples to move forward for next version
|
1489 |
6020 277CA (x269) Examples to move forward for next version
|
1491 |
6020 277 Request for Additional Info (x313, formerly X268) Examples to move forward for next version
|
1492 |
Add Capability to Identify Member Level Dates for Discreet Medicare Parts
|
1493 |
6020 275 (x314) Examples to move forward for next version
|
1494 |
837P - Modify Situation rule Loop 2000B PAT Segment to refer to 2000B HL04 value to determine when the Patient is or is not the subscriber
|
1495 |
Update situational rule 308 - to be Required when 2000B SBR01 not equal to "P"
|
1496 |
Remove 837P 2300 DTP - Acute Manifestation Date
|
1497 |
Add Explicit Balancing Language for QTY and AMT Segments
|
1498 |
835-Correct spelling of "self-insured"
|
1499 |
835 Section 1.5 Business Terminology: Plan Definition
|
1500 |
835 - NM1 Corrected Patient / Insured NM103 grammatical error in situational rule
|
1501 |
Change Request to the 277 response to include contractual adjustment and patient responsibility along with harmony in 277 responses
|
1503 |
837I, 837R - Line Item Service/Assessment Date
|
1505 |
837I/837R/PACDR 837I - Remove the DA (Days) qualifier from HCP11 and SV204 (DE 355)
|
1506 |
Loop 2000C HL-Patient Level -Modify Situational Rule
|
1507 |
837P, PACDR 837P - Loop 2300 DTP Assumed and Relinquished Care Date needs to be 2 separate DTP segments
|
1508 |
Support direct Identification in the for interim or final response when a UMO requests more info for a Service Review
|
1510 |
277CA: Expand the Allowable Field Size of DE 782 Monetary Amount
|
1514 |
Various Date Change Requests
|
1515 |
Code Value Notes in the 820
|
1517 |
Update the Front Matter in the 266 Implementation Guide for the Due But Not Billed
|
1519 |
PACDR guides - Changes to Loop 2300 CLM01 to match the 837 transaction changes in 6020
|
1520 |
Patient’s Reason for Visit Examples
|
1521 |
837P Loop 2300 DTP Admission Date change situational rules when required
|
1522 |
837P - Modify Situational Rule on Loop 2300 DTP- Discharge Date
|
1523 |
837P - Modify Situational Rules on Loops 2310E/2420G- Ambulance Pickup and 2310F/2420H Ambulance Drop Off
|
1524 |
835-Clarify situational rule on 2100 NM1 Corrected Priority Payer Name segment.
|
1525 |
All 837 PACDR Guides - Remove redundant usage note
|
1526 |
275 7030 example for unsolicited attachment
|
1527 |
837P/I/D - 2010AC - Change to situational rules
|
1528 |
837P / 837D - DTP - Accident Date and CLM11
|
1529 |
837P - 2400 PWK
|
1530 |
837P - Required when a Certificate of Medical Necessity (CMN) or DME Information Form (DIF)
|
1531 |
837P / 837D - 2400 CN1
|
1532 |
837P - Purchased Services (Loop 2400 AMT)
|
1533 |
837D - 2000A PRV
|
1534 |
837D - 2300 Service Date (DTP)
|
1535 |
All 837 PRV Segments
|
1536 |
837D - SV311
|
1538 |
837: REF04 Situational Rules
|
1539 |
Modify 275 Claim Attachment Loop 2000A REF segment situational rule and change Segment Name to Line Item Control Number on all 277 guides and 275 Claim Attachment
|
1540 |
275: Modify 1000C REF Situational Rule
|
1541 |
834: Review/Revise Situational Rules for Consistency
|
1542 |
835 - Code Note Review
|
1544 |
Situational Rules in the 820 - Situational Rule 12090
|
1545 |
DSMO 1192 Medicare Subrogation
|
1546 |
Add code value 53 from DE1069 to the 278 transaction (and others)
|
1547 |
837I, 837R and PACDR Institutional 2310C - Other Operating Physician Qualifier (NM101=ZZ) needs to be changed to OOP - Operating Physician
|
1548 |
Add the device identifier (DI) of the Unique Device Identifier (UDI) to the Health Care Claim Remittance/Advice (835), Professional (837P), Institutional (837I), Eligibility (270/271), Inquiry and Response (278), Notification and Acknowledgement (278) and Request for Review and Response (278) and PACDR guides
|
1549 |
276/277: Modify Situational Rules for Subscriber Level DMG and TRNs
|
1550 |
276/277 - Modify 2000E HL Situational Rule for lingage to 2000D HL04=1
|
1551 |
Acknowledgment tx needed for 834 Member Reporting
|
1553 |
Removal of BHT03 Size Limitation of 30 characters
|
1554 |
276/277 - Modify 277 2100A PER (Payer Contact) to be a Required segment
|
1555 |
Add Certification Date to 834
|
1558 |
Review Code Notes
|
1559 |
837 Data Reporting (837R) - Replace ZZ qualifier with BUR (DE1270) in Loop 2300 HI Standard Occupational Classification System (SOC) in the HI01-01
|
1560 |
274 (x207) Changes for Provider Directory to include elements for MAO reporting
|
1563 |
Review Code Notes
|
1565 |
Clean Up TR3 Front Matter Re: Additional Service Review Information
|
1568 |
Need PLB code for Interest amount not included in the 835 AMT*I
|
1570 |
Consistency for Code Notes regarding NPI (XX qualifier) across TR3's
|
1571 |
Create Auto Insurance Notification TR3
|
1572 |
837P - 2400 AMT - PURCHASED SERVICE AMOUNT example
|
1573 |
Attachment Filter Enhancement
|
1575 |
834 First Name Required in Some Loops
|
1576 |
Create a TR2
|
1577 |
Modify Source for Code Source 51 - ZIP Code
|
1593 |
Code Note changes for Additional Information to Support a Health Care Claim or Encounter (275) and Additional Information to Support a Health Care Services Review (275)
|
1594 |
270/271 Code Note Review
|
1595 |
Additional Information to Support a Health Care Services Review (275) Code Note Review
|
1596 |
Implementation Acknowledgement for Health Care Insurance (999) Code Note Review
|
1597 |
Code Note changes for 274 Healthcare Provider Directory (x207)
|
1598 |
Add UDI Values to 275 Transaction Set and Applicable Technical Reports
|
1599 |
Expand the ASC X12 Change Requests System to have check boxes for Transaction Sets and Type 1 and Type 2 (and Type 4?) Technical Reports
|
1600 |
835 - CLP05 Situational Rule
|
1601 |
835 - LX segment situational rule update
|
1602 |
837 I, P, D 2320 AMT situational rule
|
1603 |
Capture frame and/or lens information that was dispensed during office visit by provider
|
1604 |
Capture manufacturing information for contacts
|
1605 |
Situational Rules in the 820 - Situational Rule 12138
|
1606 |
820: Revise Situational Rules
|
1607 |
X212 5010 version 276. Update DMG03 with U - Unknown
|
1608 |
Add link to X12 Store in TR3 section 1.6 Transaction Acknowledgments
|
1609 |
Prohibit use of TA1 for real-time transactions
|
1612 |
Correct SVD segment in PACDR 5010 guides
|
1613 |
824 - Add Guidance on Error vs. Warning Codes (Code Source 895)
|
1614 |
X344 (271 Grace Period Premium Payment Notification) Identify the type of a premium payment grace period within health care
|
1615 |
Code maintenance on Data Element 235
|
1616 |
CLP11 Semantic Note Update
|
1617 |
278 X315: Support Situational Rule wording for the SV segments
|
1618 |
278 X315: Support Situational Rule wording for the CR6 segments
|
1619 |
278 X315: Support Situational Rule wording for the REF segments
|
1620 |
278 X315: Support Situational Rule wording for the CRC segments
|
1621 |
278 X315: Support Situational Rule wording for the PWK segments
|
1622 |
278 X315: Support Situational Rule wording for the CL1 segments
|
1623 |
278 X315: Support Situational Rule wording for the CR1 segments
|
1624 |
278 X315: Support Situational Rule wording for the CR2 segments
|
1625 |
278 X315: Support Situational Rule wording for the CR5 segments
|
1626 |
278 X315: Support Situational Rule wording for the HI_Add segments
|
1627 |
278 X315: Support Situational Rule wording for the HI_Dx segments
|
1628 |
278 X315: Support Situational Rule wording for the NM1 segments
|
1629 |
278 X315: Support Situational Rule wording for the DRA segments
|
1630 |
278 X315: Support Situational Rule wording for the DTP segments
|
1631 |
278 X315: Support Situational Rule wording for the HCR segments
|
1632 |
278 X315: Support Situational Rule wording for the PRV segments
|
1633 |
278 X315: Support Situational Rule wording for the UM segments
|
1634 |
278 X315: Support Situational Rule wording for the AAA segments
|
1635 |
278 X315: Support Situational Rule wording for the BHT segments
|
1636 |
278 X315: Support Situational Rule wording for the HLSS segments
|
1637 |
278 X315: Support Situational Rule wording for the HSD segments
|
1638 |
278 X315: Support Situational Rule wording for the NM1 Additional Service Info segments
|
1640 |
278 X315: Support Situational Rule wording for the NM1 Service Provider segments
|
1641 |
275 X316: SVC02 Monetary Amount should not be required attachment data for Utilization Review determinations
|
1642 |
277CA, 276/277 - Add capability for reporting a 'Transferred To Entity' when a claim is transferred or forwarded
|
1643 |
Add REF to 271 2120 Loop
|
1645 |
Consistency needed for terminology, i.e. hyphen vs no hyphen in "post adjudicated"
|
1646 |
Add CN1 segment at line level for 837 Institutional
|
1647 |
HCR03 Error message code limitation of values.
|
1648 |
820 Balancing
|
1651 |
Issuing non-claim payments (i.e. incentive payments, alternative payment models payments, P4P payment etc.)
|
1652 |
Device Identifier (DI) of the Unique Device Identifier (UDI) in Claims Transactions
|
1654 |
ADP24: Remove Ambiguity
|
1655 |
Create Situational Rules in 274 Health Care Provider Information X206
|
1656 |
Provide More Detailed Explanations of X12 Transactions "Business Units" and Their Identifying Values
|
1657 |
Implementation Max Size Limit Presentation
|
1658 |
The X12 270/271 TR3 Section 1.4.16 should be updated with new content as follows:
|
1659 |
275 Attachment Filter Enhancement II
|
1661 |
1.4.8.1.3 and 1.4.8.2.10 in 007030X332
|
1662 |
Ability to capture vision prescription (eyeglass or contact lens) information in 837
|
1663 |
Move 837 PACDR guides to version 7030
|
1664 |
Move x318 Member Reporting Guide to version 7030
|
1665 |
820 Forward Balancing
|
1666 |
HIPAA 820 Front Matter Changes
|
1667 |
Loop IDs and Implementation Segment Names
|
1668 |
Increase Maximum Data Length of Data Element 9998: Context Reference (CTX01-02)
|
1669 |
Non-Substantive Changes to 7030 X334 820
|
1670 |
Various Codes and Code Notes
|
1671 |
Segment Changes as a Result of 7030 Public Comment
|
1672 |
Data Element Changes as a Result of 7030 Public Comment
|
1673 |
Industry Name Revisions
|
1674 |
Segment and Data Element Situational Rules
|
1675 |
Modify data element usage in LIN to capture additional NDC codes for compound drugs.
|
1676 |
Correct Loop IDs and Implementation Segment Names
|
1677 |
Subsets of the Health Care Services Type Code List
|
1680 |
Typographical and Proofing Errors X333 & X346
|
1681 |
Revisions to Code, Situational Rules and Segment Repeats X333 & X346
|
1682 |
FSA 2500 Loop Modifications X333
|
1683 |
Updates to adhere to Technical Solutions Principles for X333 & X346
|
1684 |
Modify DMG03 code values X333 & X346
|
1685 |
Change Acknowledgement Reference Model Figures to Consistently Use Term "transaction"
|
1686 |
HIX 820 Front Matter Changes
|
1695 |
Update SV4 Data Elements - 837P
|
1697 |
Orthodontic “Initial Claims” not supported in the X12 837d format.
|
1698 |
Increase maximum length for ENT01 (Loop 2000A & 2000B)
|
1699 |
007030X335 Alter Section 1.1
|
1700 |
0070X335 ST Segment TR3 Note
|
1701 |
Correct Figure 2.2 - Transaction Set Key - Standard
|
1702 |
007030X335 - Change IK3 Loop Segment Contect CTX04 Situational Rule
|
1703 |
007030X335 - Change IK303 Situational Rule
|
1704 |
007030X335 - Modify verbiage in Front Matter Section 1.3.1
|
1705 |
007030X335 - Modify Transaction Set List in Front Matter section 1.7
|
1706 |
007030X335 - Modify Section 1.3.2
|
1707 |
007030X335 - Numbered Loop IDs
|
1708 |
007030X335 - Modify AK203 Situational Rule
|
1709 |
007030X335 - Modify ISA15 Values
|
1710 |
007030X335 - TA1 TR3 Example
|
1711 |
007030X335 - TA1 Segment TR3 Example
|
1712 |
007030X335 - Appendix F
|
1713 |
007030X335 - GS08 Code Note
|
1714 |
007030x335 - GS06 Code Note
|
1715 |
007030X335 - ISA13/IEA02 Code Notes
|
1716 |
007030X335 - AK101 Element Type
|
1717 |
007030X335 - AK2 Segment Example
|
1718 |
007030X335 - AK901 Descriptions
|
1719 |
277CA enhanced messaging to meet evolving business needs
|
1720 |
Segment, Data Element, and Code Changes to HIX 820 as a Result of Public Comments
|
1722 |
007030X335 AK103 Element Note
|
1723 |
007030X335 - AK201 Element Note Clarification
|
1724 |
007030X335 - CTX06 Situational Rule
|
1725 |
007030X335 - CTX Segment Context
|
1726 |
INS18 and INS19
|
1727 |
Remove Blue Cross Blue Shield Association (BCBSA) references in the 277 guides.
|
1728 |
Modifications to 2310D and 2310A Supervising and Referring loops
|
1729 |
Modify DMG03 code values for all transactions other than the 834 Enrollment
|
1730 |
ISA02 and ISA04 Explanations Need Change for when ISA01 and ISA03 are 00
|
1732 |
007030X335 - AK905 Code Note
|
1733 |
007030X335 - GS08 Value
|
1734 |
007030X335 - IK3 Segment Situational Rule
|
1735 |
007030X335 - IK4 Segment Example
|
1736 |
007030X335 - IK401 Situational Rule
|
1737 |
007030X335 - IK4 Loop Element Context CTX04 Situational Rule
|
1738 |
Expand Check / EFT Trace Number to allow a range of entries - 005010X218 - TRN02
|
1739 |
Note changes for DE782 and DE127
|
1740 |
Claim Status 277s 7030 Public Comments - Provider Claim Identifier REF updates
|
1741 |
Claim Status 277s 7030 Public Comments - TOO Segment updates
|
1742 |
Claim Status 277s 7030 Public Comments - SVC07 note update
|
1743 |
Claim Status 277s 7030 Public Comments - Updates related to Claim Received Date
|
1744 |
277CA 7030 Public Comments - Revisions to Section 1.4.5 (Balancing) and related Segments
|
1745 |
277CA 7030 Public Comments - Revisions to Front Matter sections for Real-time and Predetermination
|
1746 |
277CA 7030 Public Comments - Revisions to Front Matter sections for Real-time and Predetermination
|
1747 |
277CA 7030 Public Comments - Modifications to Front Matter Section 1.7 Related Transactions
|
1748 |
277CA 7030 Public Comments - Revisions to DTP - Date of Illness/Injury/Accident Segment
|
1749 |
277CA 7030 Public Comments - Modify STC10 and STC11 use and associated Front Matter
|
1750 |
Claim Status 277s 7030 Public Comments - Modify code notes for SVC01-01 codes ER and HC
|
1751 |
277CA 7030 Public Comments - 2000D HL structure change and modify Information Receiver 2000B Loop
|
1752 |
276/277 7030 Public Comments - 2100C NM1 changes
|
1753 |
276/277 7030 Public Comments - Segment Rules and TR3 Notes Related to Search Criteria
|
1754 |
276/277 7030 Public Comments - HL Structure changes and clarifications for 276/277 linkage
|
1755 |
835 Section 1.10.2.17 Updates
|
1756 |
835-Update section 1.10.2.12
|
1757 |
835-Update section 1.10.2.13 per public comments
|
1758 |
277 Guides – 7030 Public Comments - Add Entity Code Notes, Modify Entity Code Lists
|
1759 |
007030X335 - CTX Business Unit Identifier Modifications
|
1760 |
007030X335 - Section 1.3.1 Revision
|
1761 |
Claim Status 277s 7030 Public Comments - Correct Typos and Non-substantial Changes to Front Matter
|
1762 |
277Pend 7030 Public Comments - Correct segment name reference in Pharmacy Prescription Number REF situational rule
|
1763 |
277CA 7030 Public Comments - Add functionality to identify the 2100A Information Source as an All Payer Database(APD) or other undefined entity
|
1764 |
277CA 7030 Public Comments - Situational rule changes for Patient Name elements(2100D NM1) and Provider Secondary ID (REF) rule and code updates
|
1765 |
277CA 7030 Public Comments - Non-substantial updates to Situational Rules on various 2200D REF Segments
|
1766 |
All Claim Status Guides 7030 Public Comment - Modify shared Claim Level DTP TR3 note and situational rule.
|
1767 |
276/277 and 277 Pending 7030 Public Comments - Update STC Segment references for NCPDP Reject Codes and correct typos
|
1768 |
276/277 7030 Public Comments - Modify the 277 2220D/E SVC Segment rule to address response to 276 service level requests
|
1769 |
276/277 7030 Public Comments - 2200D/E AMT Segment changes
|
1770 |
276/277 7030 Public Comments - Revisions to Section 1.4.4.3 (Status Messaging for Subscriber Direct Paid Claims/Services)
|
1771 |
276/277 7030 Public Comments - Non-substantial changes to 2200D/E REF Segments
|
1772 |
276/277 7030 Public Comments - Add capability to report a payer website in Loop 2100A PER Segment
|
1776 |
DDP to be added to BPR04 in the 835
|
1777 |
Change Usage Note in 837D DN104
|
1778 |
835 PLB updates per public comments
|
1779 |
835 TOO Segment updates
|
1780 |
835 2100 and 2110 LQ segment updates
|
1781 |
835 2100 and 2110 DTM updates
|
1782 |
835 2100 and 2110 AMT updates
|
1783 |
274 v7030 (x207) Update Section 1.1 Implementation Purpose and Scope
|
1784 |
274 v7030 (x207) Changes for Provider Directory to include elements requested by Payer for their Provider Directory data bases.
|
1785 |
Front Matter: Grammar/Cosmetic/Punctuation
|
1786 |
Transaction Set: Grammar/Cosmetic/Punctuation
|
1787 |
Front Matter: Requirement and/or PRV02 Code Values
|
1788 |
Front Matter: Requirement to Return 2110C/D loop (All Segments)
|
1789 |
835 MIA/MOA changes due to public comment
|
1790 |
Front Matter: Duplicates & the Required Primary Search Option, MID/DOB/LN/FN Cascading Search Option
|
1791 |
835 Update SVC per public comments
|
1792 |
Front Matter: 1.4.11 Transaction Validation - 2110C/D EB or the AAA04
|
1793 |
835 Update TS2 and TS3 per public comment
|
1794 |
835 2100 and 2105 NM1 segment updates
|
1795 |
835 1000A and 2100 PER Segment updates
|
1796 |
835 2100 and 2110 RAS segment updates
|
1797 |
835 TRN segment updates
|
1798 |
835 BPR Segment updates
|
1799 |
835 CLP Segment updates
|
1800 |
007030X335 - AK9 TR3 Note added to AK906, 07, 08, and 09
|
1801 |
007030X335 - IK501 Code Note Changes
|
1802 |
007030X335 - Add TR3 Note to the IK5 Segment
|
1804 |
007030X335 - Modify SE Example
|
1805 |
007030X335 - IK4 Loop CTX06 Symantic Note Modification
|
1806 |
007030X335 - Modify AK1 Segment Example
|
1807 |
PACDR 277CA
|
1815 |
Need 271 to be able to reflect more Diagnosis Codes
|
1817 |
Common Content Changes - Front Matter
|
1818 |
Common Content Changes - Appendices
|
1819 |
Harmonization - Section 1.5 Terms and Definition
|
1820 |
835-Update section 1.10.2.24 Data Integrity per public comments
|
1821 |
835-Update section 1.10.2.8 Reversals and Corrections per public comments
|
1822 |
Address changes in 7030 not migrated appropriately from version 4050
|
1823 |
835 Update front matter section 1.10.2.27 per public comments
|
1824 |
835 Update front matter 1.10.2.23 per public comments
|
1825 |
835 Update front matter 1.10.2.22 per public comments
|
1826 |
835 Update front matter 1.10.2.21 per public comments
|
1827 |
835 Update front matter 1.10.2.20 per public comments
|
1828 |
835 - update 1.10.2.4 (Claim Adjustment Information and Service Adjustment Information Segment Theory) and subsections per public comments
|
1829 |
835 Update front matter 1.10.2.15 per public comments
|
1830 |
835 Update front matter 1.10.2.18 per public comments
|
1831 |
835 Update front matter 1.10.2.19 per public comments
|
1832 |
835 Update front matter 1.10.2.26 per public comments
|
1833 |
835 Update front matter 1.10.2.7 per public comments
|
1834 |
835 Update front matter 1.10.2.9 per public comments
|
1835 |
Add Timestamp at the detail/service level on the 837 Professional Claim transaction
|
1836 |
835-Update section 1.10.2 per public comments
|
1837 |
835-Update Section 1.10.2.25 per public comments
|
1838 |
820 Updates to Unique Items as a Result of Internal Review
|
1839 |
835 - Update Section 1.10.2.10 per public comments
|
1840 |
835 - Update Section 1.10.2.11 per public comments
|
1841 |
835 - Update Section 1.10.2.6 per public comments
|
1842 |
835 - Update Section 1.7.1 per public comments
|
1844 |
835 - Update Section 1.10.2.14 and 1.10.2.14.2 per public comments
|
1845 |
Reporting Clinical Laboratory Improvement Amendment (CLIA) Number in 837I Claims
|
1846 |
835 - Update Section 1.10.2.2, 1.10.2.3 and 1.10.2.3.1 per public comments
|
1847 |
835 - Update Section 2.2.1 per public comments
|
1848 |
835-Update 1.1 (Implementation Purpose and Scope), 1.10 (Overall Data Architecture) per public comments
|
1849 |
5010/6020 AAA05 Code Mapping for TR2 X347
|
1850 |
Appropriate Use Criteria Mandate
|
1851 |
Modify Front Matter Sections 1.1, 1.2 and 1.4, 1.4.2.2.1.1 , 1.4.3, 1.4.4, 1.4.4.1, 1.4.4.2.1.1, 1.4.4.2.2.6 , 1.4.5.1, 1.4.5.2, 1.4.6.2 across all impacted 837 TR3s based on 7030 public review comments
|
1852 |
Modify Front Matter Sections 1.4.2 Coordination of Benefits across all impacted 837 TR3s based on 7030 Public Review Comments
|
1853 |
Modify Front Matter Sections 1.10.2, 1.10.3, 1.11, 1.11.1, 1.12.4 and 1.12.5 across all impacted 837 TR3s based on 7030 Public Review Comments
|
1854 |
Modify Data Dictionary Definitions for Operating Physician for 837I/837R based on 7030 Public Review Comments
|
1855 |
Modify Loop 2000B and 2000C across all impacted 837 TR3s based on 7030 Public Review Comments
|
1856 |
Modify Loops 1000A, 2010AA, 2010AB, 2010AC, 2010BA 2010AD and 2010CA across all impacted 837 TR3s based on 7030 Public Review Comments
|
1857 |
Modify Loop ID 2300 Segments CLM, CL1 and DN1 across all impacted 837 TR3s based on 7030 Public Review Comments
|
1858 |
Modify Loop ID 2300/2400 AMT, CR1, CR2, CRC, HCP, K3, MEA, PWK and TOO Segments across all impacted 837 TR3s based on 7030 Public Review Comments
|
1859 |
Add New Front Matter Section and Modify Loop ID 2300 & 2400 CR8 Segment across all impacted 837 TR3s based on 7030 Public Review Comments.
|
1860 |
835 - PCI Compliance for card information
|
1861 |
Modify Loop ID 2300 HI Segments across all impacted 837 TR3s based on 7030 Public Review Comments
|
1862 |
Modify Loop ID 2300/2400 DTP Segments across all impacted 837 TR3s based on 7030 Public Review Commets
|
1863 |
Modify Loop ID 2300/2400 REF Segments across all impacted 837 TR3s based on 7030 Public Review Comments
|
1864 |
Modify Loop ID 2400 SV1, SV2 and SV3 and Loop ID 2440 LQ across all impacted 837 TR3s based on 7030 Public Review Comments
|
1865 |
Modify Loop ID 2410 CTP, LIN and SV4 across all impacted 837 TR3s based on 7030 Public Review Comments
|
1866 |
Modify Loop ID 2310, 2330 and 2420 Provider Segments across all impacted 837 TR3s based on 7030 Public Review Comments
|
1867 |
Modify Loop 2010BA and 2330A across all impacted 837 TR3s based on 7030 Public Review Comments
|
1868 |
Modify Loop ID 2010BB and 2330B across all impacted 837 TR3s based on 7030 Public Review Comments
|
1869 |
Modify Loop ID 2320 and 2430 COB Segments across all impacted 837 TR3s based on 7030 Public Review Comments
|
1870 |
834 Disability Segment
|
1875 |
Modify Loop ID 2320 SBR and OI Segments across all impacted 837 TR3s based on 7030 Public Review Comments
|
1877 |
820 Verbiage Consistency
|
1878 |
820 Segment Repeat Inconsistencies
|
1879 |
007030X335 - Remove Charts from Front Matter that are Present in Acknowledge Reference Manual (ARM)
|
1880 |
007030X335 - Invalid Data in 999 as Copied from the Functional Group
|
1881 |
Modifications to HIPAA 820 X334 Based on Second Public Comment Period
|
1882 |
Modifications to HIX 820 X345 Based on Second Public Comment Period
|
1885 |
Change Situational Rules in the 997 and 999
|
1886 |
Modify CL1 Data Elements and CL1 Code Sources other UB-04 Code Sources based on Public Review Comment
|
1887 |
Modify Industry Name for Claim Identifier for Transmission Intermediaries based on public review comment.
|
1890 |
Review Claim/Line override information across the 837 Guides based on public review comments.
|
1891 |
Correct CR1684 Tech Soln for Bus Req 4
|
1892 |
New transaction guide to support provider information within the credentialling and contracting/network management systems
|
1893 |
Add Date of Birth and Gender to the Claim Acknowledgment, the 3 Requests for Additional Information tied to the 278 and 837
|
1895 |
Add Presumptive Eligbility Code
|
1896 |
Public Comment Reconciliation: TR3 notes, 1
|
1897 |
Public Comment Reconciliation: TR3 notes, 2
|
1898 |
Public Comment Reconciliation: DX examples
|
1899 |
Public Comment Reconciliation: New Codes
|
1900 |
Public Comment Reconciliation: AAA Front Matter
|
1901 |
Public Comment Reconciliation: EJ code usage
|
1902 |
Public Comment Reconciliation: Element Notes
|
1903 |
Public Comment Reconciliation: Front Matter, 1
|
1904 |
Public Comment Reconciliation: PRV segment
|
1905 |
Public Comment Reconciliation: Code Notes, 1
|
1906 |
Public Comment Reconciliation: Situational Rules, 3
|
1907 |
Public Comment Reconciliation: Front Matter, 2
|
1908 |
Public Comment Reconciliation: Segment updates
|
1909 |
Public Comment Reconciliation: Code Notes, 2
|
1910 |
Public Comment Reconciliation: Situational Rules, 2
|
1911 |
Public Comment Reconciliation: Front Matter, 3
|
1912 |
Public Comment Reconciliation: Industry Name
|
1913 |
Public Comment Reconciliation: Typographic corrections
|
1914 |
Public Comment Reconciliation: Situational Rules, 1
|
1915 |
Public Comment Reconciliation: Remove SSN Examples
|
1916 |
Public Comment Reconciliation: TR3 Examples
|
1917 |
Public Comment Reconciliation: UDI
|
1918 |
Public Comment Reconciliation: UM09 Update
|
1919 |
Public Comment Reconciliation: Update Subscriber/Dependent Loop for P&C
|
1920 |
Public Comment Reconciliation: Synchronize Request/Response Reciever Entities
|
1921 |
Public Comment Reconciliation: Codes. 1
|
1922 |
Public Comment Reconciliation: Codes, 2
|
1923 |
Public Comment Reconciliation: DRA segment
|
1924 |
Public Comment Reconciliation: DRA14 element
|
1925 |
Public Comment Reconciliation: 24 DX Codes
|
1926 |
Remove Appendix ADA Dental Claim Form Mapping from 837 Dental TR3 based on public review comment
|
1927 |
Add Auto Insurance content for NY No-fault to the 837 TR3s based on public review comment
|
1928 |
1.10 Front Matter Updates
|
1929 |
Change DRA02 to NOT USED since it is a duplicate data
|
1930 |
Change CR607 and CR608 to NOT USED
|
1931 |
Discharge Location/Disposition reporting on 278
|
1932 |
Update PRV segment usage so PRV01 is NOT USED
|
1933 |
X12 Version/Release Number in ISA12 Does Not Have to Match Value in GS08
|
1934 |
2010AA – Service Provider Name / 2310 – Service Location Name
|
1935 |
837R 2010AA – Service Provider Secondary Identification REF Segment / 2010AA – Service Provider Tax Identification REF Segment
|
1936 |
837R 2000B – Subscriber Level / 2000C – Patient Level External Code Sets
|
1937 |
837R 2010BA – Subscriber Name / 2010CA – Patient Name Taxpayer ID
|
1938 |
837R 2010BA LUI – Subscriber Name / 2010CA LUI – Patient Name Language Segment
|
1939 |
837R 2320 – Other Subscriber Information – AMT Payer Paid Amount
|
1940 |
837R 2300 – Claim Information DRG Segment – DRG Version
|
1941 |
837R 2300 – Claim Information - Previously Assigned Claim Control Number
|
1942 |
837R 2420 – Rendering Provider (Line Level)
|
1943 |
Modifications to HIPAA X334 ADX Segment Examples
|
1944 |
PACDR - Create Separate 2320 and 2430 Loops for SBR06 = 1 and 6
|
1946 |
PACDR - Add codes to 2010BA and 2010CA DMG03
|
1947 |
PACDR - Add TOO segment to Loop 2400 837P/837I
|
1949 |
820 X334 8300 Loop and Segment Repeats
|
1950 |
277DRA - Create Examples for Examples Web Site
|
1951 |
PACDR - Modify Loop 2300
|
1952 |
Additonal prior authorization numbers (REFa) on the 837I
|
1953 |
Ordering Phsyician
|
1954 |
838 Public Comments Related to Entity Clarificiation
|
1955 |
838 Public Comment - Addition of CORE Operation Rule Grouping Mechanism
|
1956 |
838 Public Comment Changes to be made
|
1957 |
Add 2400 – Service Line Number / TOO – Tooth Information
|
1958 |
837 – Instutional Claim Guides – New York No-Fault Additional Claim Data
|
1959 |
General Changes to the 270/271 TR3
|
1960 |
Change Reference for STC 30 and 60 per 7030 Public Comment
|
1961 |
Section 1.4.11 Changes from 7030 Public Comment Period
|
1962 |
General 1 TR2 Changes from 7030 Public Comment
|
1963 |
General 2 270/271 TR2 Changes from 7030 Public Comment
|
1964 |
Section 1 270/271 TR2 Changes from 7030 Public Comment Period
|
1965 |
Section 2 270/271 TR2 7030 Public Comment Changes
|
1966 |
Section 4 270/271 TR2 7030 Public Comment Period Changes
|
1967 |
Add new sub-section to Section 4 in the TR2 to address additional error code guidance, per the Public Review Comment
|
1968 |
835 - Update Segment TR3 Examples per public comments
|
1969 |
835 - Update NCPDP References per public comments received
|
1970 |
835 - Update Grammar in Notes per public comments
|
1971 |
Remove source code (958) from semantic note in Loops 2000E and 2000F -UM03
|
1972 |
278 - Change Loop 2010EB N4 Segment Name
|
1973 |
Section 4.3 270/271 TR2 7030 Public Comment Period Changes
|
1974 |
Section 4.4 270/271 TR2 7030 Public Comment Period Changes
|
1975 |
Sections 5,6,7 and 8 270/271 TR2 7030 Public Comment Changes
|
1976 |
Change 2000E HSD03 Situational Rule Wording
|
1977 |
Change BHT06 Situational Rule
|
1978 |
Loop 2010C NM106 Name Prefix Usage Change from Situational to Not Used
|
1980 |
Change 2010EA and 2010F NM105 naming standard
|
1981 |
Remove all ICD9 qualifiers throughout the TR3
|
1982 |
Remove specific status codes from loop 2000E/ CRC-Mental Status CRC03 values that are not pertinent to mental health
|
1983 |
835 - update grammar in front matter sections per public comments
|
1984 |
Section 1.4.2/1.4.3 270/271 TR3 7030 Public Comment Changes
|
1985 |
Section 1.4.4 270/271 TR3 7030 Public Comment Changes
|
1987 |
270-271 Section 1.4.7.2 Changes from 7030 Public Comment Period
|
1988 |
Changes to 271 AAA Segments and Elements from 7030 Public Comment Period
|
1989 |
TR3 Table 2 Loop Segment Element HI Public Comment Changes
|
1990 |
TR3 Table 2 Loop Segment Element III Public Comment Changes
|
1991 |
TR3 Table 2 Loop Segment Element MSG Public Comment Changes
|
1992 |
TR3 Table 2 Loop Segment Element HSD Public Comment Changes
|
1993 |
TR3 Table 2 Loop Segment Element SBI for First Dollar Coverage Public Comment Changes
|
1994 |
TR3 Table 2 Loop Segment Element SBI-Tiered Benefits Public Comment Changes
|
1995 |
TR3 Table 2 Loop Segment Element TOO Public Comment Changes
|
1996 |
TR3 Table 2 Loop Segment Element LX Public Comment Changes
|
1997 |
TR3 Table 2 Loop Segment Element EB Situational Rules Public Comment Changes
|
1998 |
TR3 Table 2 Loop Segment Element EB Element Notes & Industry Names Public Comment Changes
|
1999 |
TR3 Table 2 Loop Segment Element EB Segment Notes & Examples Public Comment Changes
|
2000 |
TR3 Table 2 Loop Segment Element EB Add/Delete Code Values & Code Notes Public Comment Changes
|
2001 |
TR3 Table 2 Loop Segment Element EQ Sit Rules, Code Notes, Codes Values, Industry Names Public Comment Changes
|
2002 |
TR3 Loop Segment Element DTP/DTM Public Comment Changes
|
2003 |
TR3 Table 2 Loop Segment Element INS Public Comment Changes
|
2004 |
TR3 Table 2 Loop Segment Element TRN Public Comments Changes
|
2005 |
TR3 Table 2 Loop Segment Element HL Public Comment Changes
|
2006 |
Changes to 270 271 TR3 Section 1.4.9.8 Cascading Search Logic from 7030 Public Comments
|
2007 |
Changes to 270 271 TR3 Section 1.4.10 from 7030 public comments
|
2008 |
Changes to 270 271 TR3 Sections 1.4.12 thru 1.4.15 from 7030 public comments
|
2009 |
PACDR - Add the Device Identifier (DI) of the Unique Device Identifier (UDI)
|
2010 |
PACDR - Modify Loop 2400
|
2012 |
824 Loop 2110 Creation
|
2013 |
Add business unit identifier CTX segment
|
2014 |
Change Situational Rule for 2010B NM103
|
2015 |
Update industry names of NM105 and N4 elements
|
2016 |
Section 1.4.5 Changes from 7030 Public Comment Period
|
2017 |
Transaction Set Name Changes from 7030 Public Comment Period
|
2018 |
Appendix A clean-up
|
2019 |
Changes to 270 271 TR3 Front Matter Sections 1.4.8 and 1.4.8.1 from 7030 Public Comments
|
2020 |
Changes to 270 271 TR3 Front Matter Sections 1.4.8.1.1-4 from 7030 Public Comments
|
2021 |
Changes to 270 271 TR3 Front Matter Sections 1.4.8.2 from 7030 Public Comments
|
2022 |
Modify N404 Situational Rules for Consistency
|
2023 |
TR3 Section 1.4.8.2.1
|
2024 |
270/271 X332 or X347 Public Review Comment Publication Corrections
|
2025 |
270/271 X332 Public Review Comment Changes Section 1.4.17 TR3
|
2026 |
270/271 X332 Public Review Comment Changes Section 1.4.9.1 through 1.4.9.7 TR3 Front Matter
|
2027 |
270/271 X332 Public Review Comment Changes Section 1.4.8.2.1 TR3 Front Matter
|
2028 |
270/271 X332 Public Review Comment Changes Section 1.4.8.2 TR3 Front Matter
|
2029 |
270/271 X332 Public Review comments in Section 1.4.8.2.2 TR3 Front Matter
|
2030 |
270/271 X332 Public Review Comment changes in Section 1.4.8.2.5 through 1.4.8.2.9 TR3 Front Matter
|
2031 |
270/271 X332 Public Review Comment changes in Section 1.4.8.3 through 1.4.8.6 TR3 Front Matter
|
2032 |
270/271 X332 Public Review Changes for consistency when referring to the Request and Response
|
2033 |
270/271 X332 Public Review Changes for the ST, BHTs in the TR3
|
2034 |
270/271 X332 Public Review Changes for the section 1.4.3
|
2037 |
270/271 X332 Public Review Changes to address changes to AMT in TR3
|
2038 |
270/271 X347 TR2 Public Review Changes for Section 4.3
|
2039 |
Add Identification of Rendering Provider Functionality to 270/271
|
2040 |
Changes to Front Matter Section 1.10 for PCP Comments
|
2041 |
Add DT qualifier to admit and discharge segments
|
2042 |
Clarify how time should be understood when sent in X12 transactions
|
2043 |
824 - Add XML XPath information to front matter
|
2044 |
270/271 007030X332 TR3 Public Review Comments-Modify Section 1.4.7.1
|
2046 |
TR3 Front Matter Section 1.3.2 Public Comment Changes
|
2047 |
Texas State Health Care Data Collection System Request Approval to Use K3 Segment
|
2048 |
007030X332 TR3 Public Review Changes to 1.4.8.2.10 and 1.4.8.2.12
|
2049 |
Allow option to submit patient weight in metric units (e.g., kilograms) on the 837P
|
2050 |
820 X334 Public Review Comment Changes for BPR02.
|
2052 |
PACDR - COB Clarifications
|
2053 |
Modify section 1.10.2 of X341 275 based on 7030 Public Review Comment
|
2054 |
Modify section 1.10.4 of X341 275 based on 7030 Public Review Comment
|
2055 |
Modify front matter of X341 275 based on 7030 Public Review Comment
|
2056 |
Modify 1000, 2000, and 2100 Loops of X341 275 based on 7030 Public Review Comment
|
2057 |
Modify ST, BDS, CAT segments of X341 275 based on 7030 Public Review Comment
|
2058 |
Modify 1000 and 1100 loops of X341 275 Claim based on 7030 Public Review Comment
|
2059 |
Revisions for X332 NM1 segments from public review period
|
2060 |
Revisions for X332 REF segments from public review period
|
2061 |
Revisions for X332 PER segments from public review period
|
2062 |
Revisions for X332 PRV segments from public review period
|
2063 |
Revisions for X332 DMG segments from public review period
|
2064 |
Revisions for X332 N3 and N4 segments from public review period
|
2065 |
Revisions for X332 to support pharmacy industry request from public review period
|
2066 |
X340 277RFAI Public Comment – 2100D Patient Name NM1 elements Situational Rule
|
2068 |
X340 277RFAI Public Comment – Correct Front Matter Typos and update TR3 Note & Situational Rule
|
2069 |
All 837 Claim Guides - Correct Segment TR3 Examples per Public Comments
|
2070 |
Modify situational rules at 2300 in the 837P and 837I based on 7030 Public Review Comments
|
2071 |
Correct Typographical Errors in the 837P, 837I and 837D at the 2330B REF Other Payer Claim Control Number based on 7030 Public Review Comments
|
2072 |
Modify Code and Element Notes based on 7030 Public Review Comments
|
2073 |
Modify Front Matter Based on 7030 Public Review Comments
|
2074 |
Modify Sections 1.10.2 & 1.10.3 of the X343
|
2075 |
Modify Section 1.3.2, 1.4.5 & 1.7 of the X343 275
|
2076 |
Modify Section 1.10.4 of the X343 275
|
2077 |
Modify Loops ST, CAT, STC, BGN and BDS data elements of the X343 275
|
2078 |
Modify HI segment of the X343 275
|
2079 |
837P/837I Loop 2300 Claim Note NTE and Billing Note NTE
|
2081 |
Revisions for X343 NM1 segments from public review period
|
2085 |
Corrections and Updates to 834 X318
|
2086 |
Corrections and Updates to 834 X318
|
2087 |
Revisions for X323 X324 X326 from public review period
|
2088 |
Revisions for X327 X342 from public review period
|
2089 |
Suggested Enhancements to TR4 "The ISX Segment in Operation"
|