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Back   Health Care Provider Information (004050X253)

Purpose

The Health Care Provider Information Implementation Guide describes the use of the Provider Information (274) Version/Release 4050 Transaction Set for the following business usages:
  • Request and respond to requests for enumeration and/or participation in a network, as well as to update provider information

Primary Trading Partners

Trading partners include, but are not limited to:
  • Hospitals
  • Physicians
  • Health care payers, such as insurance companies, HMOs, and PPOs
  • State and Federal programs, such as Medicare, Medicaid, and TRICARE (CHAMPUS)

    Exceptions/Limitations

    Intended for use as a basic enrollment or registration application. Does not provide all of the data identified as required when the application process includes verification of provider data.

    References

    • Health Care Provider Information (004050X103)

    Additional Information

    Registered 6/8/2005 Published 8/16/2005
    Transaction Set ID 274 Standard Version 004050
    ASC X12 DM# Owning Group X12N/TG2/WG15