HIPAA Glossary WXYZ

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Washington Publishing Company (WPC): A company that publishes the X12N HIPAA Implementation Guides and the X12N HIPAA Data Dictionary, and that also developed the X12 Data Dictionary.

WEDI: The Workgroup for Electronic Data Interchange.

WG: Work Group.

WHO: The World Health Organization.

Workgroup for Electronic Data Interchange (WEDI): A health care industry group that lobbied for HIPAA A/S, and that has a formal consultative role under the HIPAA legislation.

World Health Organization (WHO): An organization that maintains the International Classification of Diseases (ICD) code set.

WPC: The Washington Publishing Company.

X12: An ANSI-accredited group that defines EDI standards for many American industries, including health care insurance. Most of the electronic transaction standards proposed under HIPAA are X12 standards.

X12 148: X12’s First Report of Injury, Illness, or Incident EDI transaction.

X12 270: X12’s Health Care Eligibility & Benefit Inquiry EDI transaction.

X12 271: X12’s Health Care Eligibility & Benefit Response EDI transaction.

X12 274: X12’s Provider Information EDI transaction.

X12 275: X12’s Patient Information EDI transaction.

X12 276: X12’s Health Care Claims Status Inquiry EDI transaction.

X12 277: X12’s Health Care Claim Status Response EDI transaction.

X12 278: X12’s Referral Certification and Authorization EDI transaction.

X12 811: X12’s Consolidated Service Invoice & Statement EDI transaction.

X12 820: X12’s Payment Order & Remittance Advice EDI transaction.

X12 831: X12’s Application Control Totals EDI transaction.

X12 834: X12’s Benefit Enrollment & Maintenance EDI transaction.

X12 835: X12’s Health Care Claim Payment & Remittance Advice EDI transaction.

X12 837i: X12’s Institutional Health Care Claim or Encounter EDI transaction.  

X12 837p: X12’s Professional Health Care Claim or Encounter EDI transaction.  

X12 837d: X12’s Dental Health Care Claim or Encounter EDI transaction.  

X12 997: X12’s Functional Acknowledgement EDI transaction.

X12F: A subcommittee of X12 that defines EDI standards for the financial industry. This group maintains the X12 811 [generic] Invoice and the X12 820 [generic] Payment & Remittance Advice transactions, although X12N maintains the associated HIPAA Implementation Guides.

X12J: A subcommittee of X12 that reviews X12 work products for compliance with the X12 design rules.

X12N: A subcommittee of X12 that defines EDI standards for the insurance industry, including health care insurance.

X12N/SPTG4: The HIPAA Liaison Special Task Group of the Insurance Subcommittee (N) of X12. This group’s responsibilities have been assumed by X12N/TG3/WG3.

X12N/TG1: The Property & Casualty Task Group (TG1) of the Insurance Subcommittee (N) of X12.  

X12N/TG2: The Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12.

X12N/TG2/WG1: The Health Care Eligibility Work Group (WG1) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group maintains the X12 270 Health Care Eligibility & Benefit Inquiry and the X12 271 Health Care Eligibility & Benefit Response EDI transactions.

X12N/TG2/WG2: The Health Care Claims Work Group (WG2) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group maintains the X12 837 Health Care Claim or Encounter EDI transaction.

X12N/TG2/WG3: The Health Care Claim Payments Work Group (WG3) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group maintains the X12 835 Health Care Claim Payment & Remittance Advice EDI transaction.

X12N/TG2/WG4: The Health Care Enrollments Work Group (WG4) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group maintains the X12 834 Benefit Enrollment & Maintenance EDI transaction.

X12N/TG2/WG5: The Health Claims Status Work Group (WG5) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group maintains the X12 276 Health Care Claims Status Inquiry and the X12 277 Health Care Claim Status Response EDI transactions.

X12N/TG2/WG9: The Health Care Patient Information Work Group (WG9) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group maintains the X12 275 Patient Information EDI transaction.

X12N/TG2/WG10: The Health Care Services Review Work Group (WG10) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group maintains the X12 278 Referral Certification and Authorization EDI transaction.

X12N/TG2/WG12: The Interactive Health Care Claims Work Group (WG12) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group maintains the IHCCLM EDI transaction.

X12N/TG2/WG15: The Health Care Provider Information Work Group (WG15) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group maintains the X12 274 Provider Information EDI transaction.

X12N/TG2/WG19: The Health Care Implementation Coordination Work Group (WG19) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This is now X12N/TG3/WG3.

X12N/TG3: The Business Transaction Coordination and Modeling Task Group (TG3) of the Insurance Subcommittee (N) of X12. TG3 maintains the X12N Business and Data Models and the HIPAA Data Dictionary.

X12N/TG3/WG1: The Property & Casualty Work Group of the Business Transaction Coordination and Modeling Task Group (TG3) of the Insurance Subcommittee (N) of X12.

X12N/TG3/WG2: The Healthcare Business & Information Modeling Work Group of the Business Transaction Coordination and Modeling Task Group (TG3) of the Insurance Subcommittee (N) of X12.

X12N/TG3/WG3: The HIPAA Implementation Coordination Work Group of the Business Transaction Coordination and Modeling Task Group (TG3) of the Insurance Subcommittee (N) of X12. This was formerly X12N/TG2/WG19 and X12N/SPTG4.

X12N/TG3/WG4: The Object-Oriented Modeling and XML Liaison Work Group of the Business Transaction Coordination and Modeling Task Group (TG3) of the Insurance Subcommittee (N) of X12.

X12N/TG4: The Implementation Guide Task Group of the Insurance Subcommittee (N) of X12. This group supports the development and maintenance of X12 Implementation Guides, including the HIPAA X12 IGs.

X12N/TG8: The Architecture Task Group of the Insurance Subcommittee (N) of X12.

X12/PRB: The X12 Procedures Review Board.