3 ms·
It’s terrible to implement at the business and industry level - the required details enclosed with the messages are wholly insufficient to properly communicate
by thallium205 2y ago
It’s terrible to implement at the business and industry level - the required details enclosed with the messages are wholly insufficient to properly communicate claims as well as claim payments between payers and providers. Yet nothing can be done as the law requires its usage.
- nradov 2y agoCould you clarify which specific details are missing from the messages? Additional clinical documentation can be sent in 275 attachments. The law does not specifically require X12. The law gives CMS the authority to set technical standards and they chose X12 for those transactions because there was no other practical option. But recently they have granted at least one exception to use FHIR instead.