Change Request Detail
No.
1008
Date
8/30/2004
Submitter
Type of Request
Payment of a Health Care Claim
Status
DSMO Process Completed
Business Reason
The later version of 835 Implementation Guide contains additional valuable information that will benefit the industry for those attempting to use the 835.

The Claim Payment workgroup and the Health Care Task Group of ASC X12 Insurance Sub Committee believes that this new guide version 4050 designated X124 should be considered as a canditate for the next HIPAA version of the 835.
Suggestion
Recommend to NCVHS that the 4050 version of the 835 Implementation Guide (X124) be named as the HIPAA standard.
DSMO Category
I
Recommendation
Approve. The DSMO fully supports this request to move the 835 004050 guide forward for consideration for HIPAA. The DSMO note that all transactions do not have to advance to the next version as a "suite". Based on input from the industry the 4050 version of the 835 incorporates a variety of improvements that provide a more effective and consistent implementation of the standard.
Appeal Recommendation