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Back   Personal Health Record Transfer Between Health Plans (005050X274)

Purpose

The Personal Health Record Transfer Between Health Plans Implementation Guide describes the use of the ASC X12 Patient Information (275) transaction set for the following business usage:
  • To transfer Personal Health Record (PHR) information between different health plans.
The business flows supported by this implementation are the following:
  • When an employer or coverage sponsor changes from one health plan to another, the new health plan may request the prior plan to transfer PHR information of those covered individuals
  • When an individual changes jobs and elects coverage under a new health plan, they may request the transfer of PHR information for covered individuals. The prior health plan, with the individual's authorization, will transfer the PHR information to the new health plan.
  • When an individual or subgroup of individuals changes from one health plan to another, the new health plan may request the prior health plan to transfer the PHR information of those covered individuals.

Primary Trading Partners

Health Plans

Exceptions/Limitations

This TR3 only supports the transfer of PHR information from health plan to health plan.

References

This is the first implementation guide for this business purpose.

Coordination

Health Level Seven (HL7) has created a standard called the Continuity of Care Document (CCD) which includes the data necessary to support the health plan to health plan transfer of PHR information. HL7 has committed to support this joint SDO project.

Additional Information

Registered 6/4/2007 Published 8/1/2008
Transaction Set ID 275 Standard Version 005050
ASC X12 DM# Owning Group X12N/TG2/WG9