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Additional Information to Support a Health Care Services Review

The Additional Information to Support a Health Care Services Review implementation guide describes the use of the X12 Patient Information (275) transaction set to assist those who send additional supporting information or who receive additional supporting information to a health care claim services review.

Intended trading partners include: insurance companies; utilization management organizations (UMOs); third party administrators (TPAs); managed care service organizations (HMOs); state and federal agencies and their contractors; plan purchasers; consulting services; vendors of systems software and EDI translators, and EDI network intermediaries


  • Type:

    TR3

  • Industries:

    Health Care & Insurance

  • Intended Trading Partners:

    Intended trading partners include: insurance companies; utilization management organizations (UMOs); third party administrators (TPAs); managed care service organizations (HMOs); state and federal agencies and their contractors; plan purchasers; consulting services; vendors of systems software and EDI translators, and EDI network intermediaries

  • Set ID:

    275

  • Version:

    006020

  • Maintained By:

    X12N

  • Publication Date:

    09/01/2014

  • Publication ID:

    X316

  • Resources:

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