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Back  RFI # 1336: CN1 for non-HIPAA use

Formal vs. Informal Help Informal Formal

Submitter

Holly George

Description

Can you provide a more in depth explanation on the CN1 and the following statement from the TR3?;

1. The developers of this implementation guide note that the CN1
segment is for use only for post-adjudicated claims, which do not
meet the definition of a health care claim under HIPAA. Consequently,
at the time of this writing, the CN1 segment is for non-HIPAA use only.

If this is for Non-HIPAA use only why is it here? What are the conditions for non-HIPAA? Under what conditions would it be acceptable?

A search on the X12 Interpretations site brought up a couple of questions (RFI 539 and RFI 1130) but there they do not cover these specific questions.

Submitter Assigned Keywords

provide a more in depth explanation on the CN1 and the statement non-HIPAA use

Response

X12 develops TR3's for Industry use. Health Care TR3's are intended to meet all of the needs of Industry, and there are several examples of Non-HIPAA usages in the TR'3's. It's after the TR3's are developed that they are adopted under HIPAA. The CN1 segment can only be used by willing Trading Partners for the Non-HIPAA-mandated exchange of post-adjudicated claims.
Submission 6/15/2011
Status Date 8/19/2011
Status F - Final
Primary References
Document 005010X222
Section2300
Page186
Loop2300
Industry NameContract Information