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19. Who determines whether the implementation guides are ready for public review or use?

This determination would best be the result of a joint DHHS/X12N decision making process. DHHS has an interest in ascertaining that certain principles are applied to the standardization of electronic health care transactions. We would expect that the X12N workgroups would continue to work on the guides until they are as perfect as human beings can make them, or until the proposed rule is published, whichever comes first. Any decisions by X12N to improve the guides must be made available to the public during the comment process.

Draft implementation guides have been made available well before publication of the proposed rules. As a courtesy, new material should be pointed out for reviewers, who may have done detailed reviews prior to the publication of the proposed rule.

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