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Back   Health Care Provider Information (004050X103)

Purpose

The Health Care Provider Information Implementation Guide describes the use of the Provider Information (274) Version/Release 4050 Transaction Set for the following business usages:
  • Send an application for membership to a health care entity
  • Send registration information to a health care entity
  • Send a health care entity's limited response to the health care provider

Primary Trading Partners

Trading partners include, but are not limited to:
  • Hospitals
  • Physicians
  • Health care payers, such as insurance companies, HMOs, and PPOs
  • State and Federal programs, such as Medicare, Medicaid, and TRICARE (CHAMPUS)

Exceptions/Limitations

Limited to application for membership and to send registration information about health care provider and does not include all information for use in provider credentialing, provider directories, or other business functions.

References

This is the first implementation guide for this business purpose.

Additional Information

Registered 10/7/1997 Published 8/8/2003
Transaction Set ID 274 Standard Version 004050
ASC X12 DM# Owning Group X12N/TG2/WG15