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 Association; Draft Standard for Trial Use ; Electronic Data Interchange; HIPAA Data Dictionary ; Health Care Code Maintenance Committee; Health Care Provider Taxonomy Committee; NUBC 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.