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Statement Submissions on Benefits and Impacts of Implementing X12 Version 00860 Transactions

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 seeking statement submissions from health care organizations that will implement the X12 Version 008060 (“8060”) standard transactions once mandated under the Health Insurance Portability and Accountability Act (HIPAA). This request for statement submissions is in response to X12’s December 2025 recommendation to adopt the 8060 transactions under HIPAA. Information collected in these statements, along with results from WEDI’s 8060 Stakeholder Survey, will assist the Centers for Medicare & Medicaid Services (CMS) in their work evaluating the benefits and impacts of the 8060 transactions on the industry.

X12 has recommended adoption of 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)

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

Learn more about 8060 at WEDI’s HIPAA Resource Page.

Instructions
Statements are limited to the questions provided below. Statements must be submitted using this online form. Please note that the statements will be shared with CMS and the public as submitted, including any identifiable information.

The deadline to submit a statement is April 24, 2026.
1.How would the implementation of the X12 Version 008060 transactions impact your organization or members related to costs, benefits, burden reduction, etc.?
2.What are your recommendations for the implementation of the X12 Version 008060 transactions related to timing, roll out of transactions, synchronization with other regulatory requirements, etc.?
3.Please provide any additional information you would like to share about the potential implementation of the X12 Version 008060 transactions.
On behalf of WEDI, thank you for submitting your comments. If you have any questions or additional comments, please submit them to apoole@wedi.org.

Thank you for taking the time to complete the statement submission. Click “Done” when you are finished.