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Health Care Services Review - Notification and Acknowledgment 008010 X328

The Health Care Services Review - Notification and Acknowledgment implementation guide describes the use of the ASC X12 Health Care Services Review Information (278) transaction set for the notification of interested parties concerning events related to a health care services review, such as patient arrival notice, patient discharge notice, patient transfer notice; for the notification of certification to primary care physician (PCP), utilization management organization (UMO), or other service providers; and for certification notice change.

Intended trading partners include: providers, such as physicians, medical groups, independent physician associations (IPAs), and preferred provider organizations (PPOs); facilities, such as hospitals, clinics, and school and employer clinics; health care review entities, such as insurance companies, health maintenance organizations (HMOs), professional review organizations (PROs), and UMOs


  • Type:

    TR3

  • Industries:

    Health Care & Insurance

  • Intended Trading Partners:

    Intended trading partners include: providers, such as physicians, medical groups, independent physician associations (IPAs), and preferred provider organizations (PPOs); facilities, such as hospitals, clinics, and school and employer clinics; health care review entities, such as insurance companies, health maintenance organizations (HMOs), professional review organizations (PROs), and UMOs

  • Set ID:

    278

  • Version:

    008010

  • Maintained By:

    X12N

  • Publication Date:

    10/01/2020

  • Publication ID:

    X328

  • Resources:

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