Change Request Detail
No.
1054
Date
10/27/2006
Submitter
Type of Request
Enrollment in a Health Plan
Status
DSMO Process Completed
Business Reason
X12 Insurance Subcommittee (N), the Health Care Task Group (TG2) and the Enrollments Work Group (WG4) are submitting the following Technical Report Type 3 (TR3) as a version upgrade / replacement for the 834 HIPAA Transaction, which is currently adopted and implemented using version 4010X095.

The new X12 version is 005010 with Implementation Guide (TR3) designated 005010X220 Benefit Enrollment and Maintenance (834).
Suggestion
Recommend to NCVHS that the 005010 version of the X12 834 transaction together with its X12 005010 TR3 (Implemenation Guide) 005010X220 for Benefit Enrollment and Maintenance be named to replace the current HIPAA mandated transaction 834 version 4010 and its Implemenation Guide designated as 004010X095A1.
DSMO Category
I
Recommendation
Approve. The DSMO recommend to NCVHS that the 005010 version of the X12 834 transaction together with its X12 005010 TR3 (Implementation Guide) 005010X220 for Benefit Enrollment and Maintenance be named to replace the current HIPAA mandated transaction 834 version 4010 and its Implementation Guide designated as 004010X095A1.
Appeal Recommendation