Benefit Enrollment

The ASC X12N Benefit Enrollment and Maintenance (834) transaction allows an entity, such as an employer, union, or insurance agency, to enroll individuals in a health plan electronically.  The transaction also supports changes to an existing enrollment and termination of an individual’s enrollment.

Standards

Current Version

The current industry version of the ASC X12N Benefit Enrollment and Maintenance (834) transaction is 5010.  This version was adopted under HIPAA to replace version 4010 on January 16, 2009.

View the Regulation

The Technical Report Type 3 (TR3) ASC X12N/005010X220A1 Benefit Enrollment and Maintenance (834) can be purchased at the www.x12.org/products.

Next Published Version

The next published version of the ASC X12N Benefit Enrollment and Maintenance (834) transaction will be 7030™.

See the Change Healthcare Regulatory and Standards Quarterly Update for details concerning the X12 publication schedule.

Anticipated Standard

Immediately following publication of 7030TM, X12 will promote the TR3 to version 8010 TM and is expected to recommend the 8010 TM version to CMS for adoption under HIPAA.

Note: Following the publication of version 8010, X12 will move to an annual release cycle of TR3s. See https://x12.org/about/arc-faq for more information.

7030TM and 8010TM are trademarks of X12.  All rights reserved.