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HIPAA Version 5010 Companion Guides and NCPDP Version D.0 Payer Sheet

HIPAA Version 5010 Companion Guides and NCPDP Version D.0 Payer Sheet

The purpose of the ForwardHealth companion guides and payer sheet is to provide trading partners and managed care organizations with ForwardHealth-specific information for successfully exchanging transactions electronically with ForwardHealth.

These publications are available only as PDFs. You will need Adobe Reader® to view these files.

P-00262Instructions Related to 820 Health Care Payroll Deducted and Other Group Premium Payment for Insurance Products (820) Based on ASC X12 Implementation Guide (02/16)
P-00263 Instructions Related to 837 Health Care Claim: Dental (837D) Transactions Based on ASC X12 Implementation Guide (04/17)
P-00264Instructions Related to 834 Benefit Enrollment and Maintenance (834) Based on ASC X12 Implementation Guide (02/17)
P-00265 Instructions Related to 837 Health Care Claim: Professional (837P) Transaction Based on ASC X12 Implementation Guide (04/17)
P-00266 Instructions Related to 837 Health Care Claim: Institutional (837I) Transactions Based on ASC X12 Implementation Guide (07/16)
P-00267Instructions Related to 270/271 Health Care Eligibility Benefit Inquiry and Response (270/271) Based on ASC X12 Implementation Guide (05/14)
P-00268Instructions Related to 999 Acknowledgement for Health Care Insurance (999) Based on ASC X12 Implementation Guide (01/12)
P-00269Instructions Related to TA1 Interchange Acknowledgement (TA1) Based on ASC X12 Implementation Guide
P-00270 Instructions Related to 276/277 Health Care Claim Status (276/277) Transactions Based on ASC X12 Implementation Guide (05/15)
P-00271Instructions Related to 835 Health Care Claim Payment / Advice (835) Based on ASC X12 Implementation Guide (06/14)
P-00272 ForwardHealth Payer Sheet: National Council for Prescription Drug Programs (NCPDP) Version D.0 (10/17)
P-00293 Instructions Related to 278 Health Care Services Review — Request for Review and Response (278) Transactions Based on ASC X12 Implementation Guide (10/15)
P-00678ForwardHealth Safe Harbor Connectivity Companion Guide (12/14)

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