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This document serves as an implementation standard for Electronic Data Interchange (EDI), specifically detailing the format and data contents of the General Request, Response or Confirmation Transaction
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What is 814 - VERSION 004 RELEASE 010?
814 - VERSION 004 RELEASE 010 is a data transmission format used in the Electronic Data Interchange (EDI) system for business transactions. It specifically relates to the communication of information about enrollment and disenrollment in health insurance programs.
Who is required to file 814 - VERSION 004 RELEASE 010?
Entities such as health insurance providers, payers, and employers who manage group health plans are required to file 814 - VERSION 004 RELEASE 010 to report enrollment and disenrollment information.
How to fill out 814 - VERSION 004 RELEASE 010?
To fill out the 814 - VERSION 004 RELEASE 010, organizations must follow the specified EDI format which includes segment identifiers, data elements, and values in accordance with the guidelines set by the Health Insurance Portability and Accountability Act (HIPAA) and the Accredited Standards Committee (ASC) X12.
What is the purpose of 814 - VERSION 004 RELEASE 010?
The purpose of 814 - VERSION 004 RELEASE 010 is to facilitate the electronic exchange of enrollment and disenrollment information between health plans and other entities to ensure accurate and timely processing of member enrollments.
What information must be reported on 814 - VERSION 004 RELEASE 010?
The 814 - VERSION 004 RELEASE 010 must report information such as member identification details, enrollment dates, coverage type, and any changes in enrollment status.
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