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Glossary of Computer Terms (5C) ****************************
**************************** *********************** Visit IQ-Home for your housing design needs:
*********************** Updated:03/05/2009 Copyright © 1996-2009 Management Systems Consulting, Inc. |
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ABCAccredited Standards Committee (ASC): An
organization that has been accredited by ANSI for the development of American
National Standards. ADA: The American Dental Association. Administrative Code Sets: Code sets that characterize a general business
situation, rather than a medical condition or service. Administrative Simplification (A/S): Title
II, Subtitle F, of HIPAA, which gives DHHS the authority to mandate the use of
standards for the electronic exchange of health care data; to specify what
medical and administrative code sets should be used within those standards; to
require the use of national identification systems for health care patients,
providers, payers (or plans), and employers (or sponsors); and to specify the
types of measures required to protect the security and privacy of personally
identifiable health care information. AFEHCT: The Association for Electronic Health Care Transactions. AHA: The American Hospital Association. AHIMA: The American Health Information Management Association. AMA: The American Medical Association. American Dental Association (ADA): A professional organization for dentists. The ADA
maintains the hardcopy dental claim form and the associated claim submission
specifications, and also maintains the Current Dental Terminology (CDTä )
code set. The ADA has a formal consultative role under HIPAA, and hosts the
Dental Content Committee. American Health Information Management Association (AHIMA): An association of health information management
professionals. AHIMA sponsors some HIPAA educational seminars. American Medical Association (AMA): A professional organization for physicians. The AMA
is the secretariat of the NUCC, which has a formal consultative role under
HIPAA. The AMA also maintains the Current Procedural Terminology (CPTä )
code set. American Hospital Association (AHA): A
health care industry association that represents the concerns of institutional
providers. The AHA hosts the NUBC, which has a formal consultative role under
HIPAA. American National Standards (ANS): Standards developed and approved by organizations
accredited by ANSI. American National Standards Institute (ANSI): An
organization that accredits various standards-setting committees, and monitors
their compliance with the open rule-making process that they must follow to
qualify for ANSI accreditation. American Society for Testing and Materials (ASTM): A
standards group that has published general guidelines for the development of
standards, including those for health care identifiers. ASTM Committee E31 on
Healthcare Informatics develops standards on information used within healthcare. ANS: American National Standards. ANSI: The American National Standards Institute. A/S: Administrative Simplification, as in HIPAA A/S. ASC: Accredited Standards Committee, as in ANSI ASC X12. Association for Electronic Health Care Transactions (AFEHCT): An organization that promotes the use of EDI in the health
care industry. ASTM: The American Society for Testing and Materials. BCBSA: The Blue Cross and Blue Shield Association. Biometric Identifier: An identifier based on some physical characteristic, such
as a fingerprint. Blue Cross and Blue Shield Association (BCBSA): An
association that represents the common interests of Blue Cross and Blue Shield
health plans. The BCBSA serves as the administrator for both the Health Care
Code Maintenance Committee and the Health Care Provider Taxonomy Committee. Business Model: A model of a business organization or process. CDC: The Centers for Disease Control and Prevention. CDTä : Current Dental Terminology. Centers for Disease Control and Prevention (CDC): An
organization that maintains several code sets included in the HIPAA standards,
including the ICD-9-CM codes. Claim Adjustment Reason Codes: A national code set for indicating the reasons for
any differences, or adjustments, between the original provider charge for a
claim or service and the current payment for it. This code set is used in the
X12 835 Claim Payment & Remittance Advice and the X12 837 Claim EDI
transactions, and is maintained by the Health Care Code Maintenance Committee. Claim Attachment: Any of a variety of hardcopy forms or electronic records
needed to process a claim in addition to the claim itself. Claim Medicare Remarks Codes: See Medicare Remittance Advice Remark Codes. Claim Status Codes: A national code set for indicating the status of health
care claims. This code set is used in the X12 277 Claim Status Notification EDI
transaction, and is maintained by the Health Care Code Maintenance Committee. Claim Status Category Codes: A national code set for indicating the general
category of the status of health care claims. This code set is used in the X12
277 Claim Status Notification EDI transaction, and is maintained by the Health
Care Code Maintenance Committee. Clearinghouse (or Health Care Clearinghouse): For
health care, an organization that translates health care data to or from a
standard format. CM: See ICD. COB: Coordination of Benefits, or crossover. Comment: Commentary on the merits or appropriateness of proposed or potential
regulations provided in response to an NOI, an NPRM, or other federal regulatory
notice. Computer-based Patient Record Institute (CPRI): An
industry organization that promotes the use of electronic healthcare records. Coordination of Benefits (COB): A process for determining the respective
responsibilities of two or more health plans that have some financial
responsibility for a medical claim. Also called crossover. CPRI: Computer-based Patient Record Institute. CPTä : Current Procedural Terminology. Current Dental Terminology (CDTä ): A dental procedure code set maintained by the ADA,
and that has been selected for use in the HIPAA transactions. Current Procedural Terminology (CPTä ): A
procedure code set maintained and copyrighted by theAMA, and that has been
selected for use under HIPAA for non-institutional and non-dental professional
transactions. Data Content Committee: See Designated Data Content Committee. Data Council: A coordinating body within the DHHS that has high-level
responsibility for overseeing the implementation of the A/S provisions of HIPAA. Data Dictionary (DD): A document or system that characterizes the data content of
a system. Data Interchange Standards Association (DISA): A
body that provides administrative services to X12 and several other
standards-related groups. Data Mapping: The process of matching one set of data elements or
individual code values to their closest equivalents in another set of them. Data Model: A conceptual model of the information needed to support a
business function or process. DCC: Data Content Committee. DD: Data Dictionary, as in HIPAA DD. Dental Content Committee: An organization, hosted by the American Dental
Association, that maintains the data element specifications for dental billing.
The ADA has a formal consultative role under HIPAA for all transactions
affecting dental health care services. Department of Health and Human Services (DHHS): The
Federal Government Department that has overall responsibility for implementing
HIPAA. Designated Code Set: A medical or administrative code set, which DHHS has
designated for use in one or more of the HIPAA standards. Designated Data Content Committee or Designated DCC: An organization which DHHS has designated for oversight of the business
data content of one or more of the HIPAA-mandated transaction standards. Designated Standard: A standard, which DHHS has designated for use under the
authority provided by HIPAA. DHHS: The US Department of Health and Human Services. DICOM: Digital Imaging and Communications in Medicine. Digital Imaging and Communications in Medicine (DICOM): A standard for communicating images, such as x-rays, in a digitized
form. It could be included in the claim attachments standards. DISA: The Data Interchange Standards Association. EBFM - Electronic Business Flow Management: A form of procedural and control for deployment of HIPAA transactions. EC: Electronic Commerce. EDI: Electronic Data Interchange. EDIFACT: Electronic Data Interchange for Administration, Commerce, and
Transport. EFT: Electronic Funds Transfer. EHNAC: The Electronic Healthcare Network Accreditation Commission. Electronic Commerce (EC): The exchange of business information by electronic
means. Electronic Data Interchange
(EDI): This usually means X12 and similar variable-length
formats for the electronic exchange of structured data. It is sometimes used
more broadly to mean any electronic exchange of formatted data. Electronic Data Interchange for Administration, Commerce, and Transport (EDIFACT): An international EDI format, sometimes referred to
as UN/EDIFACT, since the United Nations has a role in it.
Interactive X12 transactions use the EDIFACT message syntax. Electronic Healthcare Network Accreditation Commission (EHNAC): An
organization that accredits healthcare clearinghouses. Electronic Media Claims (EMC): This term usually refers to a flat file format used
to transmit or transport claims, such as the 192-byte UB-92 Institutional EMC
format and the 320-byte Professional EMC NSF. Electronic Remittance Advice (ERA): Any of several electronic formats for explaining the
payments of health care claims. EMC: Electronic Media Claims. ERA: Electronic Remittance Advice. FAQ(s): Frequently Asked Question(s). Flat File: This term usually refers to a file that consists of a
series of fixed-length records that include some sort of record type code. HCFA: The Health Care Financing Administration. HCFA-1450: HCFA’s name for the institutional uniform claim form, or
UB-92. HCFA-1500: HCFA’s name for the professional uniform claim form. Also
known as the UCF-1500. HCFA Common Procedural Coding System (HCPCS): A
medical code set that identifies health care procedures, equipment, and supplies
for claim submission purposes. It is maintained by HCFA, and has been selected
for use in the HIPAA transactions. HCPCS: HCFA Common Procedural Coding System. Health Care Code Maintenance Committee: An
organization administered by the BCBSA that is responsible for maintaining
certain coding schemes used in the X12 transactions. These include the Claim
Adjustment Group Codes, the Claim Adjustment Reason Codes, the Claim Status
Category Codes, and the Claim Status Codes. Healthcare Financial Management Association (HFMA): An
organization for the improvement of the financial management of
healthcare-related organizations. The HFMA sponsors some HIPAA educational
seminars. Health Care Financing Administration (HCFA): The
DHHS agency responsible for Medicare and parts of Medicaid. HCFA has
historically maintained the UB-92 institutional EMC format specifications, the
professional EMC NSF specifications, as well as specifications for various
certifications and authorizations used by the Medicare and Medicaid programs.
HCFA also maintains the HCPCS medical code set and the Medicare Remittance
Advice Remark Codes. Health Care Provider Taxonomy Committee: An
organization administered by the BCBSA that is responsible for maintaining the
Provider Taxonomy coding scheme used in the X12 transactions. The detailed code
maintenance is done under the guidance of X12N/TG2/WG15. Health Industry Business Communications Council (HIBCC): A
council of health care industry associations which has developed a number of
technical standards used within the health care industry. Health Informatics Standards Board (HISB): A
standards group that has developed an inventory of candidate standards for
consideration as possible HIPAA standards. Health Insurance Association of America (HIAA): An
industry association that represents the interests of commercial health care
insurers. The HIAA participates in the maintenance of some code sets, including
HCPCS Level II codes. Health Insurance Portability and Accountability Act of1996 (HIPAA): A
Federal law that makes a number of changes that have the goal of allowing
persons to qualify immediately for comparable health insurance coverage when
they change their employment relationships. Title II, Subtitle F, of HIPAA gives
DHHS the authority to mandate the use of standards for the electronic exchange
of health care data; to specify what medical and administrative code sets should
be used within those standards; to require the use of national identification
systems for health care patients, providers, payers (or plans), and employers
(or sponsors); and to specify the types of measures required to protect the
security and privacy of personally identifiable health care information.
Also known as the Kennedy-Kassebaum Bill, the Kassebaum-Kennedy Bill, K2,
or Public Law 104-191. Health Level Seven (HL7): An ANSI-accredited group that defines standards for
the cross-platform exchange of information within a health care organization.
HL7 is responsible for specifying the Level Seven OSI standards for the health
industry. Some HL7 standards will be encapsulated in the X12 standards used for
transmitting claim attachments. The HL7 Claims Attachment SIG (CA-SIG) is
responsible for the HL7 portion of this standard. HFMA: The Healthcare Financial Management Association. HHS: See DHHS. HIAA: The Health Insurance Association of America. HIBCC: The Health Industry Business Communications Council. HIPAA: The Health Insurance Portability and Accountability Act of 1996. HIPAA Data Dictionary or HIPAA DD: A data dictionary that defines and cross-references
the contents of all X12 transactions included in the HIPAA mandate. It is
maintained by X12N/TG3. HISB: The Health Informatics Standards Board. HL7: Health Level Seven. IAIABC: The International Association of Industrial Accident Boards and
Commissions. ICD & ICD-n-CM & ICD-n-PCS: International Classification of Diseases, with
“n” = “9” for Revision 9 or “10” for Revision 10, with “CM” =
“Clinical Modification”, and with “PCS” = “Procedure Coding System”. IG: Implementation Guide. Implementation Guide (IG): A document explaining the proper use of a standard
for a specific business purpose. The X12N HIPAA IG’s are the primary reference
documents used by those implementing the associated transactions, and are
incorporated into the HIPAA regulations by reference. Information Model: A conceptual model of the information needed to support a
business function or process. International Association of Industrial Accident Boards and Commissions
(IAIABC): One of their standards is under consideration for use for
the First Report of Injury standard under HIPAA. International Classification of Diseases (ICD): A
medical code set maintained by the World Health Organization (WHO). The primary
purpose of this code set is to classify causes of death. A US extension of this
coding system, maintained by the NCHS within the CDC, is used to identify
morbidity factors, or diagnoses. The ICD-9-CM codes have been selected for use
in the HIPAA transactions. International Standards Organization (ISO) or International
Organization for Standardization: An organization that coordinates the development and
adoption of numerous international standards. ISO: The International Standards Organization. JCAHO: The Joint Commission on Accreditation of Healthcare Organizations. Joint Commission on Accreditation of Healthcare Organizations (JCAHO): An
organization that accredits healthcare organizations. In the future, the JCAHO
may play a role in certifying these organizations compliance with the HIPAA A/S
requirements. Management Systems Consulting, Inc. - EDI Professionals for HIPAA Deployement Maximum Data Set: A framework envisioned under HIPAA whereby an entity
creating a transaction is free to include whatever data any receiver might want
or need. The recipient of a maximum
data set is free to ignore any portion of the data not needed to conduct their
part of the associated business transaction. Medical Code Sets: Codes that characterize a medical condition or treatment.
These code sets are usually maintained by professional societies and public
health organizations. Medicare Remittance Advice Remark Codes: A
national code set for providing either claim-level or service-level
Medicare-related messages that cannot be expressed with a Claim Adjustment
Reason Code. This code set is used in the X12 835 Claim Payment & Remittance
Advice EDI transaction, and is maintained by the HCFA. Memorandum of Understanding (MOU): A document providing a general description of the
kinds of responsibilities that are to be assumed by two or more parties in their
pursuit of some goal(s). More specific information may be provided in an
associated SOW. Minimum Scope of Disclosure: The principle that, to the extent practical,
individually identifiable health information should only be disclosed to the
extent needed to support the purpose of the disclosure. MOU: Memorandum of Understanding. NAIC: The National Association of Insurance Commissioners. NASMD: The National Association of State Medicaid Directors. National Association of Insurance Commissioners (NAIC): An
association of the insurance commissioners of the states and territories. National Association of State Medicaid Directors (NASMD): An
association of state Medicaid directors. NASMD
is affiliated with the American Public Health Human Services Association (APHSA). National Center for Health Statistics (NCHS): A
federal organization within the CDC that collects, analyzes, and distributes
health care statistics. The NCHS maintains the ICD-x-CM codes. National Council for Prescription Drug Programs (NCPDP): An
ANSI-accredited group that maintains a number of standard formats for use by the
retail pharmacy industry, some of which are included in the HIPAA mandates. National Committee for Quality Assurance (NCQA): An
organization that accredits managed care plans or Health Maintenance
Organizations (HMOs). In the future, the NCQA may play a role in certifying
these organizations’ compliance with the HIPAA A/S requirements. National Committee on Vital and Health Statistics (NCVHS): A
Federal body within the DHHS, which has an important advisory role under HIPAA. National Drug Code (NDC): A medical code set that identifies prescription
drugs and some over the counter products, and that has been selected for use in
the HIPAA transactions. National Employer ID: A system for uniquely identifying all sponsors of health
care benefits. National Health Information Infrastructure (NHHI): This
is a healthcare-specific lane on the Information Superhighway, as described in
the National Information Infrastructure (NII) initiative. Conceptually, this
includes the HIPAA A/S initiatives. National Patient ID: A system for uniquely identifying all recipients of health
care services. National Payer ID: A system for uniquely identifying all organizations that
pay for health care services. Also known as Health Plan ID, or Plan ID. National Provider ID: A system for uniquely identifying all providers of health
care services, supplies, and equipment. National Standard Format (NSF): Generically, this applies to any national standard
format, but it is often used in a more limited way to designate the Professional
EMC NSF, a 320-byte flat file record format used to submit professional claims. National Uniform Billing Committee (NUBC): An
organization, chaired and hosted by the American Hospital Association, that
maintains the UB-92 hardcopy institutional billing form and the data element
specifications for both the hardcopy form and the 192-byte UB-92 flat file EMC
format. The NUBC has a formal consultative role under HIPAA for all transactions
affecting institutional health care services. National Uniform Claim Committee (NUCC): An
organization, chaired and hosted by the American Medical Association, that
maintains the HCFA-1500 claim form and a set of data element specifications for
professional claims submission via the HCFA 1500 claim form, the Professional
EMC NSF, and the X12 837. The NUCC has a formal consultative role under HIPAA
for all transactions affecting non-dental non-institutional professional health
care services. NCHS: The National Center for Health Statistics. NCPDP: The National Council for Prescription Drug Programs. NCPDP Batch Standard: An NCPDP standard designed for use by low-volume dispensers
of pharmaceuticals, such as nursing homes. This is one of the proposed standards
under HIPAA. NCPDP Telecommunication Standards: An NCPDP standard designed for use by high-volume
dispensers of pharmaceuticals, such as retail pharmacies. This is one of the
proposed standards under HIPAA. NCQA: The National Committee for Quality Assurance. NCVHS: The National Committee on Vital and Health Statistics. NDC: National Drug Code. NDS: National Data Standards. NHHI: National Health Information Infrastructure. NOI: Notice of Intent. Notice of Intent (NOI): A document that describes a subject area for which
the Federal Government is considering developing regulations. It may describe
what the government considers to be the relevant considerations, and invite
comments from interested parties. These comments can then be used in developing
an NPRM or a final regulation. Notice of Proposed Rulemaking (NPRM): A
document that describes and explains regulations that the Federal Government
proposes to adopt at some future date, and invites interested parties to submit
comments related to them. These comments can then be used in developing a final
regulation. NPI: National Provider ID. NPRM: Notice of Proposed Rulemaking. NSF: National Standard Format. NUBC: The National Uniform Billing Committee. NUBC EDI TAG: The NUBC EDI Technical Advisory Group, which coordinates
issues affecting both the NUBC and the X12 standards. NUCC: The National Uniform Claim Committee. Office of Management & Budget (OMB): A
Federal Government agency that has a major role in reviewing proposed Federal
regulations. OIG: The Office of Inspector General. OMB: The Office of Management & Budget. Open System Interconnection (OSI): A multi-layer ISO data communications standard.
Level Seven of this standard is industry-specific, and HL7 is responsible for
specifying the level seven OSI standards for the health industry. OSI: Open System Interconnection. PAG: Policy Advisory Group. Payer: In health care, an entity that assumes the risk of paying for medical
treatments. This can be an uninsured patient, a self-insured employer, or a
health care plan or HMO. PAYERID: HCFA’s term for their pre-HIPAA National Payer ID initiative. PCS: See ICD. PL or P. L.: Public Law, as in PL 104-191 (HIPAA). Policy Advisory Group (PAG): A generic name for many work groups at WEDI and
elsewhere. Provider Taxonomy Codes: A code set for identifying the provider type and
area of specialization for all health care providers. A given provider can have
several Provider Taxonomy Codes. This code set is used in the X12 278 Referrals
and Authorization and the X12 837 Claim EDI transactions, and is maintained by
the Health Care Provider Taxonomy Committee. SC: Subcommittee. SDO: Standards Development Organization. SOW: Statement of Work. Standard Transaction Format Compliance System (STFCS): An
EHNAC-sponsored HIPAA certification service. State Uniform Billing Committee (SUBC): A
state-specific affiliate of the NUBC. Statement of Work (SOW): A document describing the specific tasks and
methodologies that will be followed to satisfy the requirements of an associated
contract or MOU. STFCS: The Standard Transaction Format Compliance System. Structured Data: This term usually refers to data in which the meaning of a
given part can be inferred by its location within an overall structure, such as
a record layout. SUBC: State Uniform Billing Committee. TAG: Technical Advisory Group. TG: Task Group. UB: Uniform Bill, as in UB-82 or UB-92. UB-82: A uniform institutional claim form developed by the NUBC that was in
general use from 1983 - 1993. UB-92: A uniform institutional claim form developed by the NUBC that has been
in use since 1993. UCF: Uniform Claim Form, as in UCF-1500. UCTF: The Uniform Claim Task Force. UN/EDIFACT: See EDIFACT. Uniform Claim Task Force (UCTF): An organization that developed the initial HCFA-1500
Professional Claim Form. The maintenance responsibilities were later assumed by
the NUCC. Unstructured Data: This term usually refers to data that is represented as
free-form text, as an image, etc., where it is not practical to predict exactly
what data will appear where. Value-Added Network (VAN): A vendor of EDI data communications and translation
services. VAN: Value-Added Network. Washington Publishing Company (WPC): A
company that publishes the X12N HIPAA Implementation Guides and the X12N HIPAA
Data Dictionary, and that also developed the X12 Data Dictionary. WEDI: The Workgroup for Electronic Data Interchange. WG: Work Group. WHO: The World Health Organization. Workgroup for Electronic Data Interchange (WEDI): A
health care industry group that lobbied for HIPAA A/S, and that has a formal
consultative role under the HIPAA legislation. World Health Organization (WHO): An organization that maintains the International
Classification of Diseases (ICD) code set. WPC: The Washington Publishing Company. X12: An ANSI-accredited group that defines EDI standards for many American
industries, including health care insurance. Most of the electronic transaction
standards proposed under HIPAA are X12 standards. X12 148: X12’s First Report of Injury, Illness, or Incident EDI transaction. X12 270: X12’s Health Care Eligibility & Benefit Inquiry EDI transaction. X12 271: X12’s Health Care Eligibility & Benefit Response EDI transaction. X12 274: X12’s Provider Information EDI transaction. X12 275: X12’s Patient Information EDI transaction. X12 276: X12’s Health Care Claims Status Inquiry EDI transaction. X12 277: X12’s Health Care Claim Status Response EDI transaction. X12 278: X12’s Referral Certification and Authorization EDI transaction. X12 811: X12’s Consolidated Service Invoice & Statement EDI transaction. X12 820: X12’s Payment Order & Remittance Advice EDI transaction. X12 831: X12’s Application Control Totals EDI transaction. X12 834: X12’s Benefit Enrollment & Maintenance EDI transaction. X12 835: X12’s Health Care Claim Payment & Remittance Advice EDI
transaction. X12 837i: X12’s Institutional Health Care Claim or Encounter EDI transaction. X12 837p: X12’s Professional Health Care Claim or Encounter EDI transaction. X12 837d: X12’s Dental Health Care Claim or Encounter EDI transaction. X12 997: X12’s Functional Acknowledgement EDI transaction. X12F: A subcommittee of X12 that defines EDI standards for the financial
industry. This group maintains the X12 811 [generic] Invoice and the X12 820
[generic] Payment & Remittance Advice transactions, although X12N maintains
the associated HIPAA Implementation Guides. X12J: A subcommittee of X12 that reviews X12 work products for compliance
with the X12 design rules. X12N: A subcommittee of X12 that defines EDI standards for the insurance
industry, including health care insurance. X12N/SPTG4: The HIPAA Liaison Special Task Group of the Insurance
Subcommittee (N) of X12. This group’s responsibilities have been assumed by
X12N/TG3/WG3. X12N/TG1: The Property & Casualty Task Group (TG1) of the
Insurance Subcommittee (N) of X12. X12N/TG2: The Health Care Task Group (TG2) of the Insurance
Subcommittee (N) of X12. X12N/TG2/WG1: The Health Care Eligibility Work Group (WG1) of the Health
Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group
maintains the X12 270 Health Care Eligibility & Benefit Inquiry and the X12
271 Health Care Eligibility & Benefit Response EDI transactions. X12N/TG2/WG2: The Health Care Claims Work Group (WG2) of the Health Care
Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group maintains
the X12 837 Health Care Claim or Encounter EDI transaction. X12N/TG2/WG3: The Health Care Claim Payments Work Group (WG3) of the
Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This
group maintains the X12 835 Health Care Claim Payment & Remittance Advice
EDI transaction. X12N/TG2/WG4: The Health Care Enrollments Work Group (WG4) of the Health
Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group
maintains the X12 834 Benefit Enrollment & Maintenance EDI transaction. X12N/TG2/WG5: The Health Claims Status Work Group (WG5) of the Health
Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group
maintains the X12 276 Health Care Claims Status Inquiry and the X12 277 Health
Care Claim Status Response EDI transactions. X12N/TG2/WG9: The Health Care Patient Information Work Group (WG9) of the
Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This
group maintains the X12 275 Patient Information EDI transaction. X12N/TG2/WG10: The Health Care Services Review Work Group (WG10) of the
Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This
group maintains the X12 278 Referral Certification and Authorization EDI
transaction. X12N/TG2/WG12: The Interactive Health Care Claims Work Group (WG12) of the
Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This
group maintains the IHCCLM EDI transaction. X12N/TG2/WG15: The Health Care Provider Information Work Group (WG15) of
the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This
group maintains the X12 274 Provider Information EDI transaction. X12N/TG2/WG19: The Health Care Implementation Coordination Work Group
(WG19) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of
X12. This is now X12N/TG3/WG3. X12N/TG3: The Business Transaction Coordination and Modeling Task
Group (TG3) of the Insurance Subcommittee (N) of X12. TG3 maintains the X12N
Business and Data Models and the HIPAA Data Dictionary. X12N/TG3/WG1: The Property & Casualty Work Group of the Business
Transaction Coordination and Modeling Task Group (TG3) of the Insurance
Subcommittee (N) of X12. X12N/TG3/WG2: The Healthcare Business & Information Modeling Work
Group of the Business Transaction Coordination and Modeling Task Group (TG3) of
the Insurance Subcommittee (N) of X12. X12N/TG3/WG3: The HIPAA Implementation Coordination Work Group of the
Business Transaction Coordination and Modeling Task Group (TG3) of the Insurance
Subcommittee (N) of X12. This was formerly X12N/TG2/WG19 and X12N/SPTG4. X12N/TG3/WG4: The Object-Oriented Modeling and XML Liaison Work Group of
the Business Transaction Coordination and Modeling Task Group (TG3) of the
Insurance Subcommittee (N) of X12. X12N/TG4: The Implementation Guide Task Group of the Insurance
Subcommittee (N) of X12. This group supports the development and maintenance of
X12 Implementation Guides, including the HIPAA X12 IGs. X12N/TG8: The Architecture Task Group of the Insurance Subcommittee
(N) of X12. X12/PRB: The X12 Procedures Review Board. |
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