We believe the proposals for assigning and managing provider IDs without specific funding are insufficient for the task and are unlikely to be implemented. The NPRM for health plan identifiers has not been completed. Diagnosis and Procedure Information . In particular, the regulations require health plans to eliminate local codes that are used for administrative convenience rather than to describe medical conditions or treatments. Plans must also eliminate infrequently used local codes.
Code sets are to be reviewed and changed on a annual basis.
Version 4010 was selected due to its Y2K compliance. The proposed regulation does not require health plans to coordinate benefits. Claim Status Used for up to date information on the status of submitted claims. Interactive mode delivers near real-time response to an inquiry about the benefit status of a single patient. When a 4010 version becomes available, it is the obvious candidate to become the adopted standard.