HHS publishes proposed electronic claims attachment standards

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The Department of Health and Human Services (HSS) has published a proposed rule to establish national standards for electronic claims attachments in the Sept. 23 Federal Register.
   
The rulemaking is authorized under the HIPAA administrative simplification provisions. HHS will accept public comment on the proposed rule through Nov. 22nd.

Claims attachments are requests from health insurers for additional information -- physician notes, codes, medical images or other documentation -- to support a claim submitted for payment. In the rule, the department proposes adoption of Version 4050 of the American National Standards Institute X12N 277 request and 275 response transactions.

HHS also proposes to adopt Health Level Seven's Additional Information Specification Implementation Guide -- called HL7 AIS IG -- and the Logical Observation Identifiers Names and Codes. These include codes for laboratory results and clinical reports.

To access the 37-page proposal, go to www.gpoaccess.gov/fr/index.html.