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Sample Software Product Gap Analysis
5010GapAnalysis
ProfessionalClaimsX222A1GapAnalysis
ItemsinRedareflaggedasTransitionsChallenges.
HighlightedItemsindicateErrataChanges.
Loop Segment Qualifier Description ChangeComment
New
Code
TR3Use
Del
Qualifier
X12Use
X12Size
Relocate
Header ISA11 ^ RepetitionSeparator ElementchangedfromInterchangeControlStandards
IdentifiertoRepetitionSeparator.
Header ISA12 InterchangeControlVersionNumber Codevalue00401changedto00501.
Group GS08 Version/ReleaseIndustryIDCode X22A1:Codevaluechangedto005010X222A1.
X222:Codevaluechangedto005010X222.
Table1 ST03 005010X222 ImplementationConventionReference X222A1:Codevalueis005010X222A1
X222:AddedST03toreplacetheTable1REF.
Codevalueis005010X222
Table1 BHT03 OriginatorApplicationTransactionIden tifier Forthepurposesofthe8375010implementationthe
maximumfieldlengthis30.
Min/Maxchangedfrom1/30to1/50.
Table1 BHT06 ClaimorEncounterIdentifier Codevalue31(SubrogationDemand)wasadded.
Table1 REF01 87 ReferenceNumberQualifier MovedtheTransmissionTypetoST03.
Table1 REF02 TransmissionTypeCode MovedtheTransmissionTypetoST03.
1000A NM103 SubmitterLast/OrgName X12AttributechangedfromOptional(O)toConditional
(X).
Min/Maxchangedfrom1/35to1/60.
1000A NM104 SubmitterFirstName RequiredwhenNM102equals1andthepersonhasa
firstname.
Min/Maxchangedfrom1/25to1/35.
1000A PER02 SubmitterContactName ChangedfromRequiredtoSituational.
1000A PER03 List CommunicationNumberQualifier QualifierEDwasdeleted.
1000A PER04 CommunicationNumber Min/Maxchangedfrom1/80to1/256.
1000A PER04 ED SubmitterEDINumber Deletedin5010duetolackofbusinessrequirement.
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