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Status Not under consideration
Categories Maps & Type Trees
Created by Guest
Created on Aug 21, 2019

Creation of an ANSI X12 type tree that supports Plan Member Reporting.

The transaction is actually an 834 but is different from the 005010X220A1 834 used for Benefit Enrollment and Maintenance.  The GS08 value for this transaction is 005010X318 and the TR3 was releases in November 2016.

What is your industry? Insurance
How will this idea be used?

For a state post adjudication project, this state is requiring that we send enrollment info in order to process our files.    Since they don't need actual benefit data, they want to use the X318 version of the 834 instead of the full blown one containing benefit info.

  • Guest
    Jun 23, 2020

    ok so how do i get the 005010X318? NYS DOHS is mandating this version for all the medicaid transactions on enrollments?

  • Guest
    May 19, 2020

    005010X318 is an X12N message, but not Not a HIPAA mandated transaction.

  • Guest
    Sep 24, 2019

    Dev & Offering Management need to investigate