New: Drop-in replacement for Change Healthcare APIs

EDI 485 Ratemaking Action

Functional Group TP

X12I Transportation Subcommittee

This X12 Transaction Set contains the format and establishes the data contents of the Ratemaking Action Transaction Set (485) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to transmit ratemaking activities related to concurrence, factor change, publisher change, or proposal rejection or trace.

Heading

Position
Segment
Name
Max use
  1. To indicate the start of a transaction set and to assign a control number

  2. To assign an identification to a docket

  3. To identify an external reference

  4. To identify a carrier and person taking action or making changes

  5. 0100 Loop Optional
    Repeat 8
    1. To indicate the docket sub-level

    2. 0110 Loop Optional
      Repeat 10
      1. To indicate a route code and other codes which define the use of the RB and FK segments which follow

      2. To explain the route and indicate individual carrier divisions or factors

      3. 0111 Loop Optional
        Repeat 64
        1. To transmit codes, descriptions, and values for miscellaneous or accessorial charges associated with rail rate data

        2. To explain the route and indicate individual carrier divisions or factors

      4. To transmit codes, descriptions, and values for switching performed

  6. To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)

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