Change Request Detail
No.
1067
Date
10/31/2007
Submitter
Type of Request
Health Care Eligibility Requests or Responses
Status
DSMO Process Completed
Business Reason
X12 Insurance Subcommittee (N), the Health Care Task Group (TG2) and the Eligibility Work Group (WG1) are submitting the following Technical Report Type 3 (TR3) as a version upgrade and replacement for the 270/271 HIPAA Health Care Eligibility Benefit Request and Response transactions, which are currently adopted and implemented using version 004010X92A1.

The next X12 version is 005010 with Implementation Guide (TR3) designated 005010X279 Health Care Elgibility Benefit Inquiry and Information Response (270/271).

A prior Change Request (CR1062) for this transaction was withdrawn by X12N.
Suggestion
Recommend to NCVHS that the 005010 version of the X12 270/271 transactions together with their X12 005010 TR3 (Implementation Guide) 005010X279  for Health Care Eligibility Benefit Inquiry and Information Response be named to replace the current HIPAA mandated transactions 270 and 271 version 004010 and its Implementation Guide designated as 004010X92A1.
DSMO Category
I
Recommendation
Approve. The implementation specification (TR3) addressed in this request offers improvements to the Eligibility transactions.
Appeal Recommendation