Registry



Back   Additional Information to Support a Health Care Claim or Encounter (007030X341)

Purpose

The Additional Information to Support a Health Care Claim or Encounter Implementation Guide describes the use of the ASC X12 Patient Information (275) transaction set for the following business usage:
  • To assist those who send additional supporting information or who receive additional supporting information to a health care claim or encounter.

Primary Trading Partners

Entities that use this implementation of the 275 include, but are not limited to:
  • Providers
  • Health Plans
  • Third Party Administrators (TPA)
  • Managed Care Service Organizations, State and Federal Agencies and their contractors
  • And any other entity that processes health care claims, manages the delivery of health care services, or collects health care data.

Other business partners affiliated with the 275 include, but are not limited to:

  • Billing Services
  • Consulting Services
  • Vendors of Systems Software and EDI translators, and EDI network intermediaries such as automated clearing houses (ACHs), value added networks (VANs), and telecommunications services.

References

  • Additional Information to Support a Health Care Claim or Encounter (004020X107)
  • Additional Information to Support a Health Care Claim or Encounter (004050X151)
  • Additional Information to Support a Health Care Claim or Encounter (004060X195)
  • Additional Information to Support a Health Care Claim or Encounter (005010X210)
  • Additional Information to Support a Health Care Claim or Encounter (006020X275)
  • Additional Information to Support a Health Care Claim or Encounter (006020X314)

Coordination

No coordination required at this time with other ASC X12 groups.

Additional Information

Registered 9/8/2015
Transaction Set ID 275 Standard Version 007030
ASC X12 DM# Owning Group X12N/TGB