Benefit Enrollment and Maintenance (004060X199)

Purpose

The Health Care Benefits Enrollment and Maintenance Implementation Guide describes the use of the ANSI ASC X12 Benefit Enrollment Maintenance (834) transaction set for the following business usage:

Transfer enrollment information from the sponsor of insurance coverage, benefits, or policy to a payer.

Primary Trading Partners

Trading partners include:

Sponsors
Payer/Insurer
Third part administrators

Exceptions/Limitations

The Health Care Benefits Enrollment and Maintenance Implementation Guide addresses the enrollment and maintenance of health products only.

References

Benefit Enrollment and Maintenance (003070X020)
Benefit Enrollment and Maintenance (004010X095)
Benefit Enrollment and Maintenance (004050X125)

Coordination

X12N/TG2/WG4

Additional Information

Registered	2/6/2003
Transaction Set ID	834	Standard Version	004060
ASC X12 DM#		Owning Group	X12N/TG2/WG4