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4010 | HIPAA

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This package contains all twelve of the 004010 transaction sets mandated under HIPAA

• 270: Eligibility Benefit Inquiry • 271: Eligibility Information Response
• 276: Claim Status Request • 277: Care Claim Status Response
• 278: Services Review Request • 278: Services Review Response
• 820: Premium Payment • 834: Benefit Enrollment
• 835: Claim Payment/Advice • 837: Professional Claim
• 837: Institutional Claim • 837: Dental Claim

ASC X12 TR3 TABLE DATA

5010 | HIPAA & Acknowledgment Package

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$3,440.00

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This package contains all twelve of the transaction sets mandated under HIPAA and the 5010 Acknowledgment guides:

• 270: Eligibility Benefit Inquiry • 271: Eligibility Information Response
• 276: Claim Status Request • 277: Care Claim Status Response
• 278: Services Review Request • 278: Services Review Response
• 820: Premium Payment • 834: Benefit Enrollment
• 835: Claim Payment/Advice • 837: Professional Claim
• 837: Institutional Claim • 837: Dental Claim
• 277: Claim Acknowledgment • 999: Implementation Acknowledgment

ASC X12 TR3 TABLE DATA

5010 | 270 Health Care Eliibility Benefit Inquiry

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 271 Health Care Eliibility Benefit Information Response

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 276 Health Care Claim Status Request

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 277 Health Care Claim Status Request Response

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 278 Services Review Request for Review

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 278 Services Review Request for Review Response

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 278 Services Review & Notification: Review

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 278 Services Review & Notification: Notification

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 820 Payroll Deducted & Other Premium Payment

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 820 Health Insurance Exchange Related Payments

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$525.00

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The Health Insurance Exchange Related Payment Technical Report Type 3 (005010X306) describes the use of the ASC X12 Payment Order/Remittance Advice (820) transaction set for:
  • the payment of premium
  • the advance payment of premium tax credits and cost-sharing reduction amount
  • annual reconciliations

ASC X12 TR3 TABLE DATA

5010 | 834 Benefit Enrollment and Maintenance

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 834 health Insurance Exchange: Enrollment

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$525.00

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The Health Insurance Exchange: Enrollment Technical Report Type 3 (005010X307) describes the use of the ASC X12 Health Care Enrollment (834) transaction set for:
  • the transfer of enrollment information between Health Insurance Exchanges and Issuers.
  • the reconciliation of enrollment information between Health Insurance Exchanges and Issuers.

ASC X12 TR3 TABLE DATA

5010 | 835 Health Care Claim Payment/Advice

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 837-P Health Care Claim: Professional

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 837-I Health Care Claim: Institutional

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 837-D Health Care Claim: Dental

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 277 Health Care Claim Acknowledgment

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 997 Functional Acknowledgment for Health Care Insurance

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$525.00

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ASC X12 TR3 TABLE DATA

5010 | 999 Implementation Acknowledgment For Health Care Insurance

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$525.00

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About ASC X12 Table Data

Mechanically generated from the same databases as the ASC X12 generic standard and the implementation guides, ASC X12 table data files are inert raw data intended to be imported into existing applications.

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