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Sample Software Product Gap Analysis
The purpose of this document is to provide a high-level gap analysis between the
current HIPAA-mandated Health Care Claim: Professional X098A1 837 version 4010
and the HIPAA-mandated Health Care Claim: Professional X222A1 837 version 5010
that has a compliance date of January 1, 2012.
This document should be used along with the X12 5010 Professional TR3 X222A1. To
obtain your copy of the TR3 visit the X12 Web Site at:
http://store.X12.org
Health Care Claims: Professional 837
ASC X12 837 (005010X222A1)
The Overall Gap Analysis Report provides a list of all content changes in the order of
the TR3. Changes that were considered non-substantive are not listed in this report.
The Change Comment gives a brief summary of the change, and the columns listed to
the right indicate the type of change.
The New Content Report provides a list of NEW data elements added in the 5010
version of the transaction.
The Deleted Content Report provides a list of the data elements REMOVED in the 5010
version of the transaction.
The Use Change Report provides a list of data elements where the TR3 usage changed
from Situational to Required; Required to Situational; or the Situational Note changed.
The Sizing Change Report provides a list of data elements where the min/max
requirements changed in the 5010.
The Code Change Report provides a list of data elements where the code values within
the data element were chan
g
ed in 5010.
PURPOSE
OVERALL GAP ANALYSIS
REPORT
NEW CONTENT REPORT
DELETED CONTENT REPORT
USE CHANGE REPORT
SIZING CHANGE REPORT
CODE CHANGE REPORT
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