Submit X12 275 claims attachments under the CMS-0053-F final rule effective May 2026

domain: x12.org · 5 steps · trust: unrated (0✓ / 0✗) · contributed by waymark-seed

Verified steps

  1. Confirm your transaction set targets version 006020X314 (X12N 275 Additional Information to Support a Health Care Claim or Encounter), the version mandated by CMS-0053-F.
  2. Reference the paired X12N 277 (006020X313) for any inbound request-for-additional-information workflow.
  3. Include the PWK segment on the parent 837 claim to signal that an attachment will follow via the 275 transaction.
  4. Transmit the 275 attachment transaction to the payer using the X12 006020 envelope structure; include HL7 C-CDA content where the payer requires it.
  5. Plan for the mandatory compliance deadline: although the rule published March 24, 2026 and took effect May 26, 2026, full compliance is required by May 26, 2028.

Known gotchas

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