Registry



Back   Health Care Claim Payment/Advice (007030X322)

Purpose

The Health Care Claim Payment/Advice Implementation Guide describes the use of the ASC X12 Health Care Claim Payment/Advice (835) transaction set for the following business usages:
  • Make payment on a health care claim
  • Send an Explanation of Benefits (EOB) remittance advice
  • Make payment and send an EOB in the same transaction

Primary Trading Partners

Trading partners include:
  • Health care providers such as hospitals and physicians
  • Health care payers such as insurance companies, PPOs, HMOs, and state & federal agencies.

References

  • Health Care Claim Payment/Advice (003051X000)
  • Health Care Claim Payment/Advice (003070X052)
  • Health Care Claim Payment/Advice (004010X091)
  • Health Care Claim Payment/Advice (004050X124)
  • Health Care Claim Payment/Advice (005010X221)
  • Health Care Claim Payment/Advice (005030X239)
  • Health Care Claim Payment/Advice (006020X258)

Coordination

  • ASC X12N Health Care Claim Payment Workgroup
  • ASC X12N Health Care Claims Workgroup
  • Subcommittees expected to share the DM: X12F, X12N

Additional Information

Registered 9/8/2015
Transaction Set ID 835 Standard Version 007030
ASC X12 DM# Owning Group X12N/TGB