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Back   Additional Information to Support a Health Care Services Review (004050X147)

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:
  • Provide additional information, such as pre-certifications and prior authorizations

Primary Trading Partners

Trading partners include:
  • Health care providers, such as hospitals, physicians, medical groups, independent physician associations, and facilities
  • Health care review entities, such as insurance companies, HMOs, PPOs, health care purchasers, professional review organizations, and other utilization review organizations.

References

This is the first implementation for this business purpose.

Additional Information

Registered 3/27/2001
Transaction Set ID 275 Standard Version 004050
ASC X12 DM# Owning Group X12N/TG2/WG10