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Back   Health Care Provider Inquiry and Information Response (005030X209)

Purpose

The Health Care Provider Inquiry and Information Response Guide describes the use of the Healthcare Provider Information (274) Version/Release 005010 for the following business usages:
  • Obtain a listing of available providers from an Information Source Organization, such as an insurance company, based upon search criteria.

Primary Trading Partners

Trading partners include, but are not limited to:
  • Health care providers, such as hospitals and physicians
  • Health care payers, such as insurance companies, HMOs, and PPOs, and state and federal agencies, such as Medicare, Medicaid, and CHAMPUS

Exceptions/Limitations

Limited to use as a subset of a provider network. Does not provide a full provider directory.

References

  • Health Care Provider Inquiry and Information Response (004050X185)

Additional Information

Registered 10/2/2003
Transaction Set ID 274 Standard Version 005030
ASC X12 DM# 015104 Owning Group X12N/TG2/WG15