Guide ID X94 Published 2/3/2000
Set ID 278 Version 004010
Name Health Care Services Request for Review and Response
Purpose The Health Care Services Review Request and Response Implementation Guide describes the use of the ANSI ASC X12 Health Care Services Review Information (278) Version/Release 4010 transaction set for the following business usages:
  • Health care admission certificate requests and responses
  • Referral requests and responses
  • Health care services certification requests and responses
  • Extend certification requests and responses
  • Certification appeal requests and responses