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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.

  • Avatar32.5fb70cce7410889e661286fd7f1897de Guest
  • Aug 21 2019
  • Not under consideration
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.

What is your industry? Insurance
What is the idea priority? Medium
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  • Avatar40.8f183f721a2c86cd98fddbbe6dc46ec9
    Guest commented
    23 Jun 09:33pm

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

  • Admin
    Luke Raiano commented
    19 May 05:28pm

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

  • Admin
    Luke Raiano commented
    24 Sep, 2019 05:10pm

    Dev & Offering Management need to investigate