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Back  RFI # 2206: Clarify tooth info in 837P K3

Formal vs. Informal Help Informal Formal

Submitter

Jeanne Kirkpatrick

Description

We are looking for further clarification on RFIs 638 and 1065 regarding the situational rules for using the K3 segment in the 837P. RFI 638 was approved for 4010A1 due to Minnesota legislation, and RFI 1065 is a follow-up to RFI 638 that clarifies that the K3 segment can be used as a workaround for 5010 as well.

We have the following questions:

1) Does the workaround apply to the entire health care industry, or is the intended workaround only applicable to Minnesota since RFI 638 was specific to their legislation?

2) If it applies to the entire health care industry, should a clarification be made that use of the K3 segment to report tooth information must be agreed upon by trading partners?

We realize that version 7030 has provided for a new TOO segment in the 837P to report tooth information but until that is adopted we are looking for clarification on the above items.

Submitter Assigned Keywords

K3 tooth information

Response

Any requested use of the K3 segment must be brought to ASC X12 for formal approval of that use. The legislative mandates of the State
of Minnesota were brought to ASC X12 for approval of the K3 segment to report tooth information in versions 4010 and 5010 of the Professional 837.
However, any approved usage of the K3 segment is not restricted to only the specific legislation that identified an Industry need. Any approved usage
of the K3 segment applies to any exchange of the transactions.

ASC X12 does not comment on agreements between willing Trading Partners unless an agreement contradicts any usage requirements of an ASC X12 TR3.
Submission 4/7/2017
Status Date 5/24/2017
Status F - Final
Primary References
Document 005010X222A1
SectionNA