Registry



Back   Patient Information Request and Response (004050X055)

Purpose

The Patient Information Request and Response Implementation Guide describes the use of the ANSI ASC X12 Patient Information (275) transaction set for the following business usages:
  • Transmit clinical and demographic patient information between health care providers
  • Transmit relevant clinical information from a provider or review entity to another review entity or legal entity
  • Transmit a list of care providers and episodes of care from a provider to another provider or health information network

Patient information refers to clinical, demographic, and care provider data, and other supporting health care information.

Primary Trading Partners

The primary trading partners are those entities that collect or have a business need for patient information. These entities can be categorized as follows:
  • Health care providers such as physicians, medical groups, hospitals, and school and employer clinics
  • Review entities such as insurance companies, health maintenance organizations, health care purchasers, professional review organizations, and other utilization review organizations
  • Legal entities such as courts, their representatives, and legal representatives of patients and providers
  • Health care information networks

References

This is the first implementation guide for this business purpose.

Coordination

X12N TG2/WG10 (Services Review)

Additional Information

Registered 9/19/1996
Transaction Set ID 275 Standard Version 004050
ASC X12 DM# Owning Group X12N/TG2/WG9