HL7 Messages & Technical Specifications for Medical Services Plan
Technical specifications for HL7 messages are posted as individual documents. Collectively they are referred to as Volume 4 of the Software Compliance Standards documentation.
Developers can refer to the Transaction Dictionary in Volume 1 to determine which message specifications they require. Transaction business requirements are in Volume 3 publications.
The messages listed on this page have been approved for vendor development.
Unless otherwise indicated, the documents are in PDF format.
|R15||Check Beneficiary Coverage Status|
|R30||Establish Payer Relationship|
|R31||Establish Payer Relationship for Dependent|
|R32||Get Contract Periods|
|R34||Update Employee Number and/or Department|
|R35||End Payer Relationship|
|R36||End Payer Relationship for Dependent|
|R37||Get Account Contract Address|
|R38||Update Account Contract Address|
|R40||Account Contract Inquiry|
|R41||New Payer Inquiry|
|R43 Z29||Reinstate Overage Dependent|
|R44 Z28||Reinstate Cancelled Coverage|
|R45 Z27||Renew Cancelled Coverage|
|R46 Z26||Update Premium Payment Periods|
|R50 Z03||Enroll Subscriber with PHN|
|R50 Z04||Enroll Subscriber without PHN|
|R50 Z05||Enroll Visa Subscriber without PHN|
|R50 Z06||Enroll Visa Subscriber with PHN|
|R51||Extend Visa Resident Cancel Date|
||Zipped Collection of Medical Services Plan Messages above (ZIP, 1.5MB)|