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ASC X12N IG TABLE DATA

4010 | HIPAA

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$3,600.00

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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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$3,600.00

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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 Eligibility Benefit Inquiry

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$600.00

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ASC X12 TR3 TABLE DATA

5010 | 271 Health Care Eligibility Benefit Information Response

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$600.00

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ASC X12 TR3 TABLE DATA

6020 | 275 Additional Information to Support a Claim or Encounter

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$600.00

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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:

  • To assist those who send additional supporting information or who receive additional supporting information to a health care claim or encounter.

Beginning in 2013, the price of ASC X12 Work Products covers the use of the product for one year. Continued use of the Product requires renewal via an annual fee of 20% of the posted purchase price for members or non-members, depending on your membership status at the time of renewal.

ASC X12 TR3 TABLE DATA

6020 | 275 Additional Information to Support a Health Care Services Review

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$600.00

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The Additional Information to Support a Health Care Services Review Implementation Guide describes the use of the ASC X12 Patient Information (275) transaction set for the following business usage:

  • To assist those who send additional supporting information or who receive additional supporting information to a health care claim services review.

Beginning in 2013, the price of ASC X12 Work Products covers the use of the product for one year. Continued use of the Product requires renewal via an annual fee of 20% of the posted purchase price for members or non-members, depending on your membership status at the time of renewal.

ASC X12 TR3 TABLE DATA

6020 | 277 Health Care Claim Request for Additional Information

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$600.00

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The Health Care Claim Request for Additional Information Implementation Guide describes the use of the ASC X12 Health Care Claim Status Notification (277) transaction set to request additional information to support a health care claim or encounter.

Beginning in 2013, the price of ASC X12 Work Products covers the use of the product for one year. Continued use of the Product requires renewal via an annual fee of 20% of the posted purchase price for members or non-members, depending on your membership status at the time of renewal.

ASC X12 TR3 TABLE DATA

5010 | 276 Health Care Claim Status Request

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$600.00

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ASC X12 TR3 TABLE DATA

5010 | 277 Health Care Claim Status Request Response

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$600.00

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ASC X12 TR3 TABLE DATA

5010 | 277 Health Care Claim Status Request Response

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$600.00

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ASC X12 TR3 TABLE DATA

6020 | 278 Services Review Request for Review

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$600.00

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The Health Care Services Review Request and Response Implementation Guide describes the use of the ASC X12 Health Care Services Review Information (278) transaction set for the following business usages:

  • Health care admission certificate requests and responses
  • Referral requests and responses
  • Health care services certification requests and responses
  • Extend certification requests and responses
  • Certification appeal requests and responses

Beginning in 2013, the price of ASC X12 Work Products covers the use of the product for one year. Continued use of the Product requires renewal via an annual fee of 20% of the posted purchase price for members or non-members, depending on your membership status at the time of renewal.

ASC X12 TR3 TABLE DATA

6020 | 278 Services Review Request for Review Response

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$600.00

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The Health Care Services Review Request and Response Implementation Guide describes the use of the ASC X12 Health Care Services Review Information (278) transaction set for the following business usages:

  • Health care admission certificate requests and responses
  • Referral requests and responses
  • Health care services certification requests and responses
  • Extend certification requests and responses
  • Certification appeal requests and responses

Beginning in 2013, the price of ASC X12 Work Products covers the use of the product for one year. Continued use of the Product requires renewal via an annual fee of 20% of the posted purchase price for members or non-members, depending on your membership status at the time of renewal.

ASC X12 TR3 TABLE DATA

5010 | 278 Services Review Request for Review

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$600.00

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ASC X12 TR3 TABLE DATA

5010 | 278 Services Review Request for Review Response

Format: CSV Download

$600.00

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ASC X12 TR3 TABLE DATA

5010 | 278 Services Review & Notification: Review

Format: CSV Download

$600.00

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ASC X12 TR3 TABLE DATA

5010 | 278 Services Review & Notification: Notification

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$600.00

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ASC X12 TR3 TABLE DATA

5010 | 820 Payroll Deducted & Other Premium Payment

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$600.00

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ASC X12 TR3 TABLE DATA

5010 | 820 Health Insurance Exchange Related Payments

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$600.00

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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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$600.00

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ASC X12 TR3 TABLE DATA

5010 | 834 health Insurance Exchange: Enrollment

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$600.00

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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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$600.00

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ASC X12 TR3 TABLE DATA

5010 | 837-P Health Care Claim: Professional

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$600.00

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ASC X12 TR3 TABLE DATA

5010 | 837-I Health Care Claim: Institutional

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$600.00

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ASC X12 TR3 TABLE DATA

5010 | 837-D Health Care Claim: Dental

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$600.00

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ASC X12 TR3 TABLE DATA

5010 | 837-P Post Adjudicated Claims Data Reporting: Professional

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$600.00

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The Post Adjudicated Claims Data Reporting: Professional Implementation Guide describes the use of the ASC X12 Health Care Claim (837) transaction set for reporting health care professional service post adjudicated data:

  • to satisfy state and federal reporting requirements such as; Medicare and Medicaid encounters, All Payer Claims Databases, and Health Care Insurance Exchanges
  • for use in health data analysis from payer data

ASC X12 TR3 TABLE DATA

5010 | 837-I Post Adjudicated Claims Data Reporting: Institutional

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$600.00

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The Post Adjudicated Claims Data Reporting: Institutional Implementation Guide describes the use of the ASC X12 Health Care Claim (837) transaction set for reporting health care institutional service post adjudicated data:

  • to satisfy state and federal reporting requirements such as; Medicare and Medicaid encounters, All Payer Claims Databases, and Health Care Insurance Exchanges
  • for use in health data analysis from payer data

ASC X12 TR3 TABLE DATA

5010 | 837-D Post Adjudicated Claims Data Reporting: Dental

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$600.00

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The Post Adjudicated Claims Data Reporting: Dental Implementation Guide describes the use of the ASC X12 Health Care Claim (837) transaction set for reporting health care dental service post adjudicated data:

  • to satisfy state and federal reporting requirements such as; Medicare and Medicaid encounters, All Payer Claims Databases, and Health Care Insurance Exchanges
  • for use in health data analysis from payer data

ASC X12 TR3 TABLE DATA

5010 | 277 Health Care Claim Acknowledgment

Format: CSV Download

$600.00

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ASC X12 TR3 TABLE DATA

5010 | 997 Functional Acknowledgment for Health Care Insurance

Format: CSV Download

$600.00

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ASC X12 TR3 TABLE DATA

5010 | 999 Implementation Acknowledgment For Health Care Insurance

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$600.00

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Pricing and Discounts

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About the Annual Fee

Beginning in 2013, the price of ASC X12 Work Products covers the use of the product for one year. Continued use of the Product requires renewal via an annual fee of 20% of the posted purchase price for members or non-members, depending on your membership status at the time of renewal. An invoice will be emailed approximately 60 days before the annual fee is due.

If updates are necessary because of modifications to the Product, there is no charge for such updates. The initial purchase cost provides the buyer the right to updates to use the Product for one year. In successive years, an annual fee extends the right to updates to use the product. This fee is calculated based on the entity's current membership status. Members pay 20% of the initial purchase price for members at the time of the extension. Non-members pay 20% of the initial purchase price for non-members at the time of the extension. The fee is not simply to receive updates, if the Product, or derivatives built based on the Product, are being executed as part of any organizational function, the annual fee must be paid every year.

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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