Introduction and Background
WEDI, a multistakeholder, non-profit organization named in HIPAA as an advisor to the U.S. Department of Health and Human Services, is conducting a survey to determine the impact recommended updates to X12 administrative transactions would have on the health care system. The survey will ask you to rate the potential business value and implementation cost of the X12 version 008060 (v8060) standards to your organization and to your constituency (clients, users, or members) if applicable.

X12 has recommended v8060 to be considered for adoption under HIPAA. Considering there have been no regulatory changes to the current X12 version 005010 standard (v5010) in more than a decade, we seek to better understand how upgrading the transactions will improve current business processes. We are also asking that you estimate the effort required to implement these changes in your EDI workflow (not online portals). You are encouraged to provide additional feedback in the open comment boxes.

The following survey will ask you to rate the potential business value of the features within the next version of selected X12 standards to your organization (X12 has recommended version 008060 (v8060) to be considered for adoption for HIPAA) and to your constituency (clients, users, or members). We are also asking that you estimate the effort required to implement these changes in your EDI (not online portals) workflow. You are encouraged to provide additional feedback in the open comment boxes.

X12 has recommended the following v8060 transactions:
Currently Mandated
008060X322 Health Care Claim Payment/Advice (835)
008060X323 Health Care Claim: Professional (837)
008060X324 Health Care Claim: Institutional (837)
008060X325 Health Care Claim: Dental (837)
008060X329 Health Care Claim Status Request and Response (276/277)
008060X332 Health Care Eligibility/Benefit Inquiry and Information Response (270/271)
008060X333 Benefit Enrollment and Maintenance (834)
008060X334 Payroll Deducted and Other Group Premium Payment for Insurance Products (820)
008060X342 Health Care Services Review – Request for Review and Response (278)

Mandated but not yet Required*
006020X313 Health Care Claim Request for Additional Information (277)
006020X314 Additional Information to Support a Health Care Claim or Encounter (275)

*Note, on March 20, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a final rule mandating these two transactions. The compliance date was set for 2028.

Currently not Mandated:
008060X343 Additional Information to Support a Health Care Services Review (275)

To learn more about HIPAA and v8060, go to the WEDI HIPAA Resource Page and to the www.X12.org website.
Please forward this survey to a colleague or trading partner if you are not the appropriate person within your organization to answer the questions, and to other trading partners or organizations that could also complete the survey. The questions should take approximately 15 minutes to complete. The results of the survey will be shared with CMS and the broader health care industry. Results of the survey will also be used to assist in WEDI education efforts. No individual identifiable information is collected in the survey, so responses are completely anonymous.

We ask that each organization submit only one response. The data being collected is for informational and educational purposes only. However, if your organization conducts functions of more than one category below, please complete the survey separately for each function. For example, a payer that has a clearinghouse should complete the survey twice, answering for the payer and the clearinghouse separately. We appreciate your feedback. If you have any questions about the survey, please submit them to apoole@wedi.org. This survey closes April 24, 2026.

Question Title

* 1. Which of the following best identifies the type of organization you represent? Choose one. If your organization conducts functions of more than one category below, please complete the survey separately for each function. For example, a payer that has a clearinghouse should complete the survey twice, answering for the payer and the clearinghouse separately.

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