HIPAA EDI Implementation Guides

Type of Transaction	ANSI Transaction	Implementation Guide(PDF Files) Note: Large File Sizes.
Health Care Claims or Encounter: Professional claim Institutional claim Dental claim	ANSI ASC X12N 837 v4010	837 Professional [PDF] (3.43 MB) 837 Professional Addenda [PDF] (641 KB) 837 Institutional [PDF] (2.9 MB) 837 Institutional Addenda [PDF] (338 KB) 837 Denta [PDF] (1.98 MB) 837 Dental Addenda [PDF] (357 KB)
Health Care Payment/Remittance Advice	ANSI ASCX12N 835 v4010	835 Remit [PDF] (1.12 MB) 835 Remit Addenda [PDF] (90 KB)
Health Claim Status	ANSI ASC X12N 276/277 v4010	276/277 Status [PDF] (1.28 MB) 276/277 Status Addenda [PDF] (277 KB)
Eligibility for a Health Plan	ANSI ASC X12N 270/271 v4010	270/271 Eligibility [PDF] (1.96 MB) 270/271 Eligibility Addenda [PDF] (108 KB)
Auth/Referral Certification	ASC X12 N 278	278 Auth Referral [PDF] (2.12 MB) 278 Auth Referral [PDF]Addenda [PDF] (1.67 MB)
Plan Premium Payments	ASC X12 820	820 Premium [PDF] (760 KB) 820 Premium Addenda [PDF] (43 KB)
Plan enrollment	ASC X12 834	834 Enrollment [PDF] (1.01 MB) 834 Enrollment Addenda [PDF] (128 KB)

EDI Companion Guides

Type of Transaction	Companion Guide
Health Care Claims or Encounter: 837 Professional claim 837 Institutional claim	Direct Connect 837P AdminisTEP Companion Guide [PDF] (51 KB)
Health Care Payment/Remittance Advice (ANSI 835)	Direct Connect 835 Companion Guide
Health Claim Status (ANSI 276/277)	Direct Connect 276/277 Companion Guide
Eligibility for a Health Plan(ANSI 270/271)	Direct Connect 270/271 Companion Guide
Auth/Referral Certification (ANSI 278)	Direct Connect 278 Companion Guide

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