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Back   Health Care Services Review - Notification (006020X265)

Purpose

The Health Care Services Review - Notification Implementation Guide describes the use of the ANSI ASC X12 Health Care Services Review Information (278) Version/Release 005050 transaction set for the following business usage:

Notification of interested parties concerning events related to a health care services review such as:

  • Patient arrival notice
  • Patient discharge notice
  • Patient transfer notice
  • Notification of certification to primary care physcian (PCP), utilization management organization (UMO), or other service providers
  • Certification notice change

Primary Trading Partners

Trading partners include:
  • Providers, such as physicians, medical groups, independent physician associations (IPAs), and preferred provider organizations (PPOs)
  • Facilities, such as hospitals, clinics, and school and employer clinics
  • Health care review entities, such as insurance companies, health maintenance organizations (HMOs), professional review organizations (PROs), and UMOs

References

  • Health Care Services Review - Notification (003070X058)
  • Health Care Services Review - Notification (004010X111)
  • Health Care Services Review - Notification (005010X216)

Additional Information

Registered 2/1/2007
Transaction Set ID 278 Standard Version 006020
ASC X12 DM# Owning Group X12N/TGB