Section title: News
Public Review Period

Public Review Period for the 278, Health Care Services Review Inquiry/Response (007030X327)

The Health Care Services Review Inquiry and Response (278) Implementation Guide (007030X327) will be available for public review beginning December 16, 2019. The review period will close January 15, 2020 at 8:00 PM, Eastern Time. The focus of this public review is the 2000F HI segment (Additional Service Description), which was modified based on comments received during the previous comment period.

This guide has been developed by X12's Insurance subcommittee based on version 007030 of the X12 Standard. Following this review period, X12 will conduct a corresponding Informational Forum. The Informational Forum is the final opportunity for public discussion of the review comments and resulting revisions.

The Health Care Services Review Inquiry and Response Implementation Guide describes the use of the X12 Health Care Services Review Information (278) transaction set for the following business usages:

  • Make inquiries to utilization management organizations for information on previously processed health care services
  • Send response(s) to inquiry(ies) on previously processed health care services

The draft implementation guide will be available in an on-line forum at http://forums.x12.org. The draft information is provided for public review and cannot be used for any other purpose without permission from X12. Reviewers may submit comments on the draft via the on-line forum. Instructions for reviewing the pages and submitting comments are posted on the forums page.

Interested parties may monitor all submitted comments and the associated responses via the on-line forum during the public review period and prior to the Informational Forum. Watch for the announcement of the corresponding Informational Forum.

Questions may be directed to info@x12.org.

About X12

X12, chartered by the American National Standards Institute for more than 40 years, develops and maintains EDI standards and XML schemas which drive business processes globally.