Change Request Detail
No.
1133
Date
1/28/2011
Submitter
Type of Request
Health Care Eligibility Requests or Responses
Status
DSMO Process Completed
Business Reason
Establish consistent responses in the industry where benefits are administered by Third Parties.
Suggestion
Clarify if Third Party Administered benefits must be returned in response to requests.
DSMO Category
D
Recommendation
Disapprove. This is a request for clarification, which is handled through the ASC X12 Request for Interpretations (RFI) Portal. The submitter is requested to submit their request for clarification into the RFI Portal. http://www.x12.org/x12org/subcommittees/x12rfi.cfm
Appeal Recommendation