007030 Implementation Guide Status

007030 Implementation Guide Status

X12's Insurance Subcommittee (X12N) is currently developing a set of 007030 TR3s. As a part of that process, each TR3 is presented for one or more public review and comment periods. The information below is about those public review and comment periods.

The information below provides the current status of each of the 007030 TR3s maintained by X12's Insurance Subcommittee (X12N).

Published
ID Transaction Set(s) Name
007030X322 835 Health Care Claim Payment/Advice
007030X323 837 Health Care Claim: Professional
007030X324 837 Health Care Claim: Institutional
007030X325 837 Health Care Claim: Dental
007030X326 837 Health Care Service: Data Reporting
007030X327 278 Health Care Services Review: Inquiry and Response
007030X328 278 Health Care Services Review: Notice and Acknowledgment
007030X329 276/277 Health Care Claim Status Request and Response
007030X330 277 Health Care Claim Acknowledgment
007030X331 277 Health Care Claim Pending Status Information
007030X333 834 Benefit Enrollment and Maintenance
007030X334 820 Payroll Deducted and Other Group Premium Payments
007030X340 277 Health Care Claim Request for Additional Information
007030X341 275 Additional Information to Support a Health Care Claim
007030X342 278 Health Care Services Review: Request for Review
007030X343 275 Additional Information to Support a Services Review
007030X344 271 Premium Payment Grace Period Notice
007030X345 820 Health Insurance Exchange Related Payment
007030X346 834 Health Insurance Exchange: Enrollment
In Development
ID Transaction Set(s) Name Next Steps
007030X321 824 Application Reporting For Insurance Public Review starting in fourth quarter 2020
007030X332 270/271 Health Care Eligibility/Benefit Inquiry and Information Response Public Review starting in fourth quarter 2020
007030X335 999 Implementation Acknowledgment for Health Care Insurance Public Review starting in fourth quarter 2020