UHIN Standard Premium Payment is compatible with all HIPAA requirements.
Purpose: The purpose of this Standard is to detail the Standard transactions for the transmission of Premium Payments in the state of Utah.
Applicability: This Standard applies to all premium payment transactions sent to payers.
Detail:
- Standard Premium Payment transaction:
The UHIN Standard for Premium Payment transaction is the HIPAA ASC X12 820 005010X218 Benefits Premium Payment.
See the Washington Publishing Company web site (http://www.wpc-edi.com) to purchase a copy of the implementation guide.
- There is no standard response to the Premium Payment transaction that can be used to identify problems with the data.
- Because there is no national standard response to the Premium Payment transaction, many data issues may be handled by non EDI communications
IMPLEMENTATION ISSUE:
- For plans in need of a rate code for payment reconciliation, the rate can be sent in Loop 2300B Individual Premium Remittance Detail
REF02 where REF01 = ZZ
- An acknowledgement response can be determined by Trading Partner Agreement.
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Version 1 |
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ORIGINATION DATE |
02/09/10 |
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APPROVAL DATE |
02/02/2011 |
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EFFECTIVE DATE |
03/02/2011 |
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Click below to download a copy of this document.
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