Supplemental Implementation Guides

This information is intended to serve only as companion documentation to the HIPAA ANSI X12N Implementation Guides. Use of these documents is solely for the purpose of clarification. The information in each document describes specific requirements to be used in processing our HIPAA ANSI X12N transactions submitted via Electronic Data Interchange (EDI). Please note that the Supplemental Implementation Guides are subject to change. Check the HIPAA Critical Center for updates.

5010 Health Care Claim: HIPAA ANSI X12N 837

   Professional 837 Supplemental Implementation Guide
   Institutional 837 Supplemental Implementation Guide
   Dental 837 Supplemental Implementation Guide 

5010 Health Care Claim Status Request: HIPAA ANSI X12 276

   276 Supplemental Implementation Guide

5010 Health Care Services Review: HIPAA ANSI X12N 278

   278 Request for Review and Response Supplemental Implementation Guide

5010 Eligibility, Coverage or Benefit Inquiry: HIPAA ANSI X12 270

   270 Eligibility, Coverage or Benefit Implementation Guide

5010 Enrollment and Maintenance: HIPAA ANSI X12 834

    834 Supplemental Implementation Guide
    834 Supplemental Implementation Guide - BlueChoice HealthPlan 

5010 Health Care Claim Payment/Advice: ASC X12N 835

   835 Supplemental Implementation Guide