Help | My Account | Checkout
Home
HIPAA
EDI Publications
EDI Standards
EDI Table Data
Code Lists


Code Request Form

It is recommended that individuals pursuing a new code or changes to a code message first contact their industry representative on the committee or another committee member by email to discuss their request prior to submitting the form below.

Committee Member Listing

By doing so, this may facilitate their request by allowing someone familiar with the approval process to discuss an alternate solution (if appropriate) for their need, or enabling that committee member to obtain additional background information which could help with the request.

Requestors are not required to contact a committee member prior to submitting their request, but they would be strongly encouraged to do so. This process would allow the committee to more fully understand and discuss requests and have more time at the meeting to do so.

Use the form below to request additions or revisions to the code lists.

For all requests: Name, Phone, Company, Email, Request Type and List Name are required.

Name      Phone
Company Email
  Brief description of request

Request Type
Revision to existing code
New code
List Name
Claim Adjustment Reason Code
Health Care Claim Status
Health Care Claim Status Category
Health Care Services Review Decision Reason
Health Care Service Type

To request a revision to an existing code: Value, Description, and Explanation are required.
For new codes: Description and Explanation are required.
Value
Description Explanation
    

Buy the Code Lists
Electronic File
Printed Document
Update Alert Service

Washington Publishing Company © 2010. All rights reserved. Help | Privacy Policy | Contact Us

  24