X-12 


An American National Standards Institute (ANSI)-accredited group that defines EDI standards for many American industries, including health care insurance. Most of the electronic transaction standards mandated or proposed under HIPAA are X12 standards. 

Related Terms: Data Interchange Standards AssociationDraft Standard for Trial Use Electronic Data InterchangeHIPAA Data Dictionary Health Care Code Maintenance CommitteeHealth Care Provider Taxonomy CommitteeNUBC EDI Technical Advisory Group United Nations Rules for Electronic Data Interchange for Administration, Commerce, and Transport Washington Publishing Company 


X12 148 
X12's First Report of Injury, Illness, or Incident EDI transaction. This standard could eventually be included in the HIPAA mandate. 


X12 270 
X12's Health Care Eligibility & Benefit Inquiry EDI transaction. Version 4010 of this transaction has been included in the HIPAA mandates. 


X12 271 
X12's Health Care Eligibility & Benefit Response EDI transaction. Version 4010 of this transaction has been included in the HIPAA mandates. 


X12 274 
X12's Provider Information EDI transaction. 


X12 275 
X12's Patient Information EDI transaction. This transaction is expected to part of the HIPAA claim attachments standard. 


X12 276 
X12's Health Care Claims Status Inquiry EDI transaction. Version 4010 of this transaction has been included in the HIPAA mandates. 


X12 277 
X12's Health Care Claim Status Response EDI transaction. Version 4010 of this transaction has been included in the HIPAA mandates. This transaction is also expected to be part of the HIPAA claim attachments standard. 


X12 278 
X12's Referral Certification and Authorization EDI transaction. Version 4010 of this transaction has been included in the HIPAA mandates. 


X12 811 
X12's Consolidated Service Invoice & Statement EDI transaction. 


X12 820 
X12's Payment Order & Remittance Advice EDI transaction. Version 4010 of this transaction has been included in the HIPAA mandates. 


X12 831 
X12's Application Control Totals EDI transaction. 


X12 834 
X12's Benefit Enrollment & Maintenance EDI transaction. Version 4010 of this transaction has been included in the HIPAA mandates. 


X12 835 
X12's Health Care Claim Payment & Remittance Advice EDI transaction. Version 4010 of this transaction has been included in the HIPAA mandates. 


X12 837 
X12's Health Care Claim or Encounter EDI transaction. This transaction can be used for institutional, professional, dental, or drug claims. Version 4010 of this transaction has been included in the HIPAA mandates. 

Related Terms: Provider Taxonomy Codes 


X12 997 
X12's Functional Acknowledgement EDI transaction. 

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