EDI Database Output Late Submissions. I New D Deferred E Referred F Withdrawn G Disapproved H Closed

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1 EDI Database Output Late Submissions I New D Deferred E Referred F Withdrawn G Disapproved H Closed JULY 2015

2 DATA MAINTENANCE INDEX LATE SUBMISSIONS REQUESTS 2.1 CURRENT DATA MAINTENANCE FOR X12 VOTE Table 1 lists those DMs included in this report which are approved for ballot to the X12 Committee by the ASC X12 Procedures Review Board at the most recent ASC X12 meeting. DMs are shown in sequential order. The DM number is followed by a page number in Section 3 where the DM can be found. 2.2 CURRENT DATA MAINTENANCE FOR REBUTTAL VOTE Table 2 lists those items prepared for Rebuttal Vote included in this report. Only X12 members who voted on the item during its initial ballot period receive this material. The DM number is followed by a page number in Section 3 where the DM can be found. 2.3 SUBCOMMITTEE INDEX Table 3 organizes DMs included in this report according to the X12 subcommittee(s) to which the DM has been referred. All open items are shown. Subcommittees are listed alphabetically by letter designation (X12A, X12C, etc.). A DM may be referred to more than one subcommittee. The DM number is followed by a page number in Section 3 where the DM can be found. Page numbers are consecutive throughout this volume. Table 3 - Subcommittee Index X12J - Technical Assessment DM NUMBER/PAGE NUMBER SUBMITTER INDEX Table 4 organizes DMs included in this report according to the submitter's last name in alphabetical order. Submitters may have submitted more than one DM; multiple DMs are shown lowest number first. The DM number is followed by a page number in Section 3 where the DM can be found. Table 4 - Submitter Index STEVE BASS DM NUMBER/PAGE NUMBER ALEXANDRIA FOSS DM NUMBER/PAGE NUMBER HETTY KHAN DM NUMBER/PAGE NUMBER RITA LAUR DM NUMBER/PAGE NUMBER NEW TRANSACTION SET INDEX None None Table 5 organizes DMs included in this report that represent new development in transaction set numerical order. Each item is followed by the DM number(s) affecting it and a page number in Section 3 where the DM can be found. None 2 JULY 2015

3 LATE SUBMISSIONS REQUESTS DM# Status: NEW Submitter: RITA LAUR Company: GS1 CANADA Subcommittees: J Add the COM segment into the 832 and several codes to DE 365 DATA MAINTENANCE SUMMARY Reason For Change To allow reference of a link (url) and identification of what type of link it is in the communication segment in the price / sales catalog. INTENDED USE: Transaction Set 832 Segment COM PROPOSED WORK: ADD COM SEGMENT to the 832 in Table 2 in Position 2/ XXXX ADD the following Codes in the COM01 DE 365 Communication Number Qualifier 01 (365) Need List of specific URL TYPES Q1 Image Link Q2 Image Information Link Q3 Allergen Information Link Q4 Warranty Information Link Q5 Customer Service Link Q6 Product Information Link Q7 Organic Information Link Q8 Organic Certification Link (agency) Action Summary TRANSACTION SETS Adds segment(s) to transaction set 832. SIMPLE DATA ELEMENTS Adds code(s) to simple data element 365. Impact Summary TRANSACTION SETS/PAGE NUMBER SIMPLE DATA ELEMENTS/PAGE NUMBER DM# Change DISA to ASC X12 Status: NEW Submitter: STEVE BASS Company: WASHINGTON PUBLISHING Subcommittees: J Reason For Change DISA has ceased operations. PROPOSED WORK: Find all references to DISA and replace them. Action Summary Not Applicable Impact Summary Not Applicable JULY

4 LATE SUBMISSIONS DATA MAINTENANCE SUMMARY REQUESTS DM# Status: NEW Submitter: HETTY KHAN Company: CENTERS FOR DISEASE CONTROL AND PREVENTION Subcommittees: J Reason For Change Modify the attributes of Code Sources 859 and R, 834 Enrollment, 834 HIX, and other transactions reference code sources 859 and 860 for data analysis, public health reporting, and health information exchange. However, the actual links in these code sources are not valid URLs. Additionally, the object identifier of the value sets in the abstracts would eliminate ambiguity by allowing a search with the id to return the exact value set. The purpose of this change request is to update the code source entries to reflect valid URLs and add identifiers to allow a search in the vocabulary repository to return the exact value set. Action Summary CODE SOURCE Changes "abstract" of code sources 859 and 860. Changes "Internet address" of code sources 859 and 860. Impact Summary CODE SOURCES/PAGE NUMBER DM# Status: NEW Submitter: ALEXANDRIA FOSS Company: ASSURANT Subcommittees: J Reason For Change Create a TR3 for Mortgage Record Change Notification. The Mortgage Record Change Notification is an TR3, X132. There is a need to modify the front matter. PROPOSED WORK: Modify the front matter of X132 and create a new TR3. Action Summary Not Applicable Impact Summary Not Applicable 4 JULY 2015

5 LATE SUBMISSIONS REQUESTS DM# Create a new CICA TR3 for Verification Of Auto Insurance Request and Response Status: NEW Submitter: ALEXANDRIA FOSS Company: ASSURANT Subcommittees: J Reason For Change DATA MAINTENANCE SUMMARY Another method of exchanging data between carriers and lenders/trackers, that is bi-directional, to reduce manual exception processing between the parties. PROPOSED WORK: Create a new TR3 for insurance verification for lenders and P&C insurance carriers to provide real-time insurance coverage verification and validation. Action Summary Not Applicable Impact Summary Not Applicable JULY

6 LATE SUBMISSIONS 832 TRANSACTION SET TABLES REQUESTS 832 Price/Sales Catalog FUNCTIONAL GROUP=SC This X12 Transaction Set contains the format and establishes the data contents of the Price/Sales Catalog Transaction Set (832) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to provide for customary and established business and industry practice relative to furnishing or requesting the price of goods or services in the form of a catalog. NOTE Table 1 POS.NO. SEG.ID NAME REQ.DES. MAX USE LOOP REPEAT ST Transaction Set Header M 1 BCT Beginning Segment for Price/Sales Catalog M 1 CTP Pricing Information 00 REF Reference Information YNQ Yes/No Question 0 PER Administrative Communications Contact 0 CTB Restrictions/Conditions 5 CUR Currency O 5 ITD Terms of Sale/Deferred Terms of Sale LDT Lead Time SAC Service, Promotion, Allowance, or Charge Information TD1 Carrier Details (Quantity and Weight) TD5 Carrier Details (Routing Sequence/Transit Time) TD3 Carrier Details (Equipment) TD4 Carrier Details (Special Handling, or Hazardous Materials, or Both) FOB F.O.B. Related Instructions PKG Marking, Packaging, Loading TXI Tax Information AAA Request Validation MTX Text PWK Paperwork 5 LOOP ID N1 Party Identification N2 Additional Name Information N3 Party Location N4 Geographic Location REF Reference Information 2 PKG Marking, Packaging, Loading PER Administrative Communications Contact 0 MTX Text SPI Specification Identifier LOOP ID LM Code Source Information LQ Industry Code Identification M LOOP ID N9 Extended Reference Information MTX Text 6 JULY 2015

7 LATE SUBMISSIONS REQUESTS TRANSACTION SET TABLES PWK Paperwork EFI Electronic Format Identification LOOP ID G93 Price Bracket Identification SAC Service, Promotion, Allowance, or Charge Information N1 Party Identification G26 Pricing Conditions Table 2 NOTE POS.NO. SEG.ID NAME REQ.DES. MAX USE LOOP REPEAT N LOOP ID LIN Item Identification PO1 Baseline Item Data G53 Maintenance Type SI Service Characteristic Identification 0 REF Reference Information YNQ Yes/No Question 0 PER Administrative Communications Contact CRD Content Reporting Detail CTB Restrictions/Conditions 5 PID Product/Item Description 00 MEA Measurements 00 PO4 Item Physical Details TD1 Carrier Details (Quantity and Weight) TD5 Carrier Details (Routing Sequence/Transit Time) TD3 Carrier Details (Equipment) TD4 Carrier Details (Special Handling, or Hazardous Materials, or Both) ITD Terms of Sale/Deferred Terms of Sale LDT Lead Time SAC Service, Promotion, Allowance, or Charge Information FOB F.O.B. Related Instructions AAA Request Validation TC2 Commodity TXI Tax Information MTX Text G55 Item Characteristics - Consumer Unit G54 Module Description COM Communication Contact Information 0 LOOP ID TRT Trade Item Type TRD Trade Item Ingredient Details LOOP ID CTP Pricing Information 0 G36 Price List Reference LDT Lead Time CUR Currency O 5 PO4 Item Physical Details CTB Restrictions/Conditions O 5 REF Reference Information JULY

8 LATE SUBMISSIONS 832 TRANSACTION SET TABLES REQUESTS G43 Promotion/Price List Area O 9999 SAC Service, Promotion, Allowance, or Charge Information G26 Pricing Conditions O 99 TXI Tax Information ITD Terms of Sale/Deferred Terms of Sale LOOP ID G40 Bracket Price SAC Service, Promotion, Allowance, or Charge Information G93 Price Bracket Identification LS Loop Header LOOP ID LM Code Source Information LQ Industry Code Identification M LE Loop Trailer LS Loop Header LOOP ID N1 Party Identification N2 Additional Name Information N3 Party Location N4 Geographic Location LE Loop Trailer LOOP ID N1 Party Identification N2 Additional Name Information N3 Party Location N4 Geographic Location REF Reference Information 2 PER Administrative Communications Contact 0 MTX Text PKG Marking, Packaging, Loading PAL Pallet Type and Load Characteristics SPI Specification Identifier LOOP ID G39 Item Characteristics - Vendor's Selling Unit CTP Pricing Information LOOP ID PKL Multi-Pack Configuration CTP Pricing Information PKG Marking, Packaging, Loading G53 Maintenance Type LOOP ID LFG Hazardous Information, Finished Goods LOOP ID CRC Conditions Indicator QTY Quantity Information LOOP ID LM Code Source Information LOOP ID LQ Industry Code Identification M JULY 2015

9 LATE SUBMISSIONS REQUESTS TRANSACTION SET TABLES REF Reference Information EFI Electronic Format Identification LOOP ID PID Product/Item Description MEA Measurements MTX Text LOOP ID SLN Subline Item Detail SI Service Characteristic Identification PID Product/Item Description CTP Pricing Information PAM Period Amount PO4 Item Physical Details PKG Marking, Packaging, Loading QTY Quantity Information MEA Measurements SAC Service, Promotion, Allowance, or Charge Information MTX Text LOOP ID LM Code Source Information LQ Industry Code Identification M LOOP ID N1 Party Identification N2 Additional Name Information N3 Party Location N4 Geographic Location REF Reference Information 2 PER Administrative Communications Contact 0 LOOP ID N9 Extended Reference Information MTX Text PWK Paperwork EFI Electronic Format Identification LOOP ID PKG Marking, Packaging, Loading YNQ Yes/No Question COM Communication Contact Information 25 Table 3 NOTE POS.NO. SEG.ID NAME REQ.DES. MAX USE LOOP REPEAT N CTT Transaction Totals SE Transaction Set Trailer M 1 Adds segment to table/position 2/1693. I NOTES 2/0150 If BCT10 is used and G5301 is used, then the G5301 takes precedence. 3/0100 Number of line items (CTT01) is the accumulation of the number of LIN segments. Hash total (CTT02) is not used in this transaction. JULY

10 LATE SUBMISSIONS 365 DATA ELEMENTS REQUESTS 365 Communication Number Qualifier TYPE= ID MIN= 2 MAX= 2 Code identifying the type of communication number COMPOSITES USED IN: C057 SEGMENTS USED IN (AS COMPONENT): COM SEGMENTS USED IN (AS SIMPLE): COM DMI ENE G61 PER TRANSACTION SETS USED IN: CODE DEFINITION AND EXPLANATION Q1 Image Link Q2 Image Information Link Q3 Allergen Information Link Q4 Warranty Information Link Q5 Customer Service Link Q6 Product Information Link Q7 Organic Information Link Q8 Organic Certification Link (agency) Adds codes Q1, Q2, Q3, Q4, Q5, Q6, Q7 and Q8. I JULY 2015

11 LATE SUBMISSIONS REQUESTS 859 Classification of Race or Ethnicity APPENDIX: CODE SOURCES 859 SIMPLE CODE REFERENCE: 1270/RET SOURCE: Classification of Race or Ethnicity AVAILABLE FROM: National Center for Public Health Informatics PHIN Vocabulary Access and Distribution System Centers for Disease Control and Prevention Mailstop E Century Center Parkway Atlanta, GA INTERNET: ABSTRACT: The Classification of Race or Ethnicity provides a detailed, hierarchical classification of race ( ) and ethnicity ( ) that complies with the U.S. Office of Management and Budget's 1997 Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity and is consistent with the classification of race and ethnicity used by the U.S. Bureau of the Census. Changes "abstract" of code source. Changes "Internet address" of code source. 860 Race or Ethnicity Collection Code I SIMPLE CODE REFERENCE: 1270/REC SOURCE: Race or Ethnicity Collection Code AVAILABLE FROM: National Center for Public Health Informatics PHIN Vocabulary Access and Distribution System Centers for Disease Control and Prevention Mailstop E Century Center Parkway Atlanta, GA INTERNET: ABSTRACT: The Race or Ethnicity Collection code ( ) provides a method of describing how information on race or ethnicity is collected in various data gathering systems. Changes "abstract" of code source. Changes "Internet address" of code source. I JULY

12 ASCX12 Work Request Form WR NUMBER: WR00873 DM NUMBER: A. Submitter Information Submitter Name: Rita Laur Company: GS1 Canada Address 1: 1500 Don Mills Road Address 2: Suite 800 City: Toronto State: Ontario Zip: 0 Country: CANADA Phone: rita.laur@gs1ca.org Submission represents the position of: B. Reference Used: Version: 7020 Release: Subrelease: or Workbook (date): C. Intended Use: Transaction Set(s): 832 Segment(s): Composite Data Element(s): Data Element(s): Code Source(s): Other: CICA Construct: (Note: If creating a new CICA Document, what is the existing template upon which the new document is based? ADD COM D. Business Case/Reason For Change: To allow reference of a link (url) and identification of what type of link it is in the communication segment in the price / sales catalog.

13 E. Proposed Work: ADD COM SEGMENT to the 832 in Table 2 in Position 2/ XXXX ADD the following Codes in the COM01 DE 365 Communication Number Qualifier 01 (365) Need List of specific URL TYPES Q1 Image Link Q2 Image Information Link Q3 Allergen Information Link Q4 Warranty Information Link Q5 Customer Service Link Q6 Product Information Link Q7 Organic Information Link Q8 Organic Certification Link (agency)

14 ASCX12 Work Request Form WR NUMBER: WR00877 DM NUMBER: A. Submitter Information Submitter Name: Steve Bass Company: WPC Address 1: 2107 Elliott Ave Address 2: Suite 305 City: Seattle State: WA Zip: Country: US Phone: (425) Submission represents the position of: B. Reference Used: Version: Release: Subrelease: or Workbook (date): C. Intended Use: Transaction Set(s): Segment(s): Composite Data Element(s): Data Element(s): Code Source(s): Other: CICA Construct: (Note: If creating a new CICA Document, what is the existing template upon which the new document is based? D. Business Case/Reason For Change: DISA has ceased operations. E. Proposed Work: Find all references to DISA and replace them.

15 ASCX12 Work Request Form WR NUMBER: WR00878 DM NUMBER: A. Submitter Information Submitter Name: Hetty Khan Company: CDC/NCHS Address 1: 3311 Toledo Road Address 2: City: Hyattsville State: MD Zip: Country: USA Phone: Submission represents the position of: CDC/NCHS B. Reference Used: Version: Release: Subrelease: or Workbook (date): 06/01/2015 C. Intended Use: Transaction Set(s): 837 Health Care Service Data Reporting Guide, 834 Segment(s): Composite Data Element(s): Data Element(s): Code Source(s): Other: CICA Construct: (Note: If creating a new CICA Document, what is the existing template upon which the new document is based? DMG Demographic Information C056 Composite Race or Ethnicity Information 1109 Race or Ethnicity Code; 1270 Code List Qualif 859 Classification of Race or Ethnicity; 860 Race D. Business Case/Reason For Change: 837R, 834 Enrollment, 834 HIX, and other transactions reference code sources 859 and 860 for data analysis, public health reporting, and health information exchange. However, the actual links in these code sources are not valid URLs. Additionally, the object identifier of the value sets in the abstracts would eliminate ambiguity by allowing a search with the id to return the exact value set. The purpose of this change request is to update the code source entries to reflect valid URLs and add identifiers to allow a search in the vocabulary repository to return the exact value set.

16 E. Proposed Work: CHANGE: CURRENT 859 Code Source Internet Address TO: NEW 859 Code Source Internet Address CHANGE: CURRENT 859 Code Source Abstract from The Classification of Race or Ethnicity provides a detailed, hierarchical classification of race and ethnicity that complies with the U.S. Office of Management and Budget's 1997 Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity and is consistent with the classification of race and ethnicity used by the U.S. Bureau of the Census. TO NEW 859 Code Source Abstract: The Classification of Race or Ethnicity provides a detailed, hierarchical classification of race ( ) and ethnicity ( ) that complies with the U.S. Office of Management and Budget's 1997 Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity and is consistent with the classification of race and ethnicity used by the U.S. Bureau of the Census. CHANGE: CURRENT 860 Code Source Internet Address TO: NEW 860 Code Source Internet Address CHANGE: 860 Code Source Abstract from The Race or Ethnicity Collection code provides a method of describing how information on race or ethnicity is collected in various data gathering systems. TO NEW 860 Code Source Abstract The Race or Ethnicity Collection code ( ) provides a method of describing how information on race or ethnicity is collected in various data gathering systems.

17 ASCX12 Work Request Form WR NUMBER: WR00879 DM NUMBER: A. Submitter Information Submitter Name: Alexandria Foss Company: Assurant Address 1: Address 2: City: State: Zip: 0 Country: Phone: Alex.Foss@assurant.com Submission represents the position of: B. Reference Used: Version: 004 Release: 010 Subrelease: or Workbook (date): C. Intended Use: Transaction Set(s): 266, 824 Segment(s): Composite Data Element(s): Data Element(s): Code Source(s): Other: CICA Construct: (Note: If creating a new CICA Document, what is the existing template upon which the new document is based? D. Business Case/Reason For Change: The Mortgage Record Change Notification is an TR3, X132. There is a need to modify the front matter. E. Proposed Work: Modify the front matter of X132 and create a new TR3.

18 ASCX12 Work Request Form WR NUMBER: WR00880 DM NUMBER: A. Submitter Information Submitter Name: Alexandria Foss Company: Assurant Address 1: Address 2: City: State: Zip: 0 Country: Phone: Alex.Foss@assurant.com Submission represents the position of: B. Reference Used: Version: 00 Release: Subrelease: or Workbook (date): C. Intended Use: Transaction Set(s): Segment(s): Composite Data Element(s): Data Element(s): Code Source(s): Other: CICA Construct: (Note: If creating a new CICA Document, what is the existing template upon which the new document is based? Verification Of Auto Insurance Request and Response D. Business Case/Reason For Change: Another method of exchanging data between carriers and lenders/trackers, that is bi-directional, to reduce manual exception processing between the parties. E. Proposed Work: Create a new TR3 for insurance verification for lenders and P&C insurance carriers to provide real-time insurance coverage verification and validation.

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