X12 Public Review Periods for X12N 7030™ Technical Reports

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. Some of these TR3s are 007030 counterparts to the HIPAA-adopted transactions, those TR3s are denoted with an asterisk in the lists below.

The information shown below has been updated to reflect the most current information available at this time.

A number of implementation guides will be posted for public review over the next few months, for example review of several guides related to transmission of health care claim status and response begins on November 15, 2019. For more details, see the information posted on the Public Review Pending slider.

Published

007030X333 Benefit Enrollment and Maintenance (834)*

007030X346 Health Insurance Exchange: Enrollment (834)

Public Review Complete, Finalization in Process

007030X322 Health Care Claim Payment/Advice (835)*

Publication is expected in 2019

007030X331 Health Care Claim Pending Status Information (277P)

Publication is expected in 2019

007030X345 Health Insurance Exchange Related Payments (820)

Publication is expected in 2019

Public Review In-Process

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

A public review runs from 10/1/19 to 11/30/2019

Publication is expected in 2020

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

A public review runs from 10/1/19 to 11/30/2019

Publication is expected in 2020

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

A public review runs from 10/1/19 to 11/30/2019

Publication is expected in 2020

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

A public review runs from 10/15/19 to 11/1/19

Publication is expected in 2020

007030X323 Health Care Claim: Professional (837P)*

A public review runs from 10/15/19 to 11/30/19

Publication is expected in 2020

007030X324 Health Care Claim: Institutional (837I)*

A public review runs from 10/15/19 to 11/30/19

Publication is expected in 2020

007030X325 Health Care Claim: Dental (837D)*

A public review runs from 10/15/19 to 11/30/19

Publication is expected in 2020

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

A public review runs from 10/15/19 to 11/30/19

Publication is expected in 2020

Public Review Pending

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

A second public review is expected to open on 12/1/19

Publication is planned for Q1 2020

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

A second public review is expected to open on 12/1/19

Publication is planned for Q1 2020

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

A second public review is expected to open on 12/1/19

Publication is planned for Q1 2020

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

A second public review will run from 11/15/19 to 1/15/20

007030X330 Health Care Claim Acknowledgment (277CA)

A second public review will run from 11/15/19 to 1/15/20

007030X335 Implementation Acknowledgment for Health Care Insurance (999)

A second public review is expected to open on 12/15/19

Publication is expected in Q1 2020

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

Another public review is expected in Q2 of 2020

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

Another public review is expected in Q2 of 2020