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Welcome  » April 19, 2024 1:57 AM
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Alerts
  • OnBase Outage: Portal users will be unable to access documents housed in OnBase from 4 a.m. on April 20, 2024, to midnight on April 21, 2024. During this window, we will make necessary upgrades to the OnBase system.

  • While some disruption is still occurring due to the cyber security incident involving Change Healthcare, providers who use Change Healthcare may once again submit pharmacy Point-of-Sale claims. Visit the ForwardHealth Change Healthcare Service Interruption: Resources page for more information.

  • Multi-factor authentication (MFA) is now required for the secure ForwardHealth Portal. Providers are encouraged to refer to the ForwardHealth Multi-Factor Authorization Instruction Sheet for help setting up MFA preferences.
    Providers may contact their Portal account administrator or call the ForwardHealth Portal Help Desk at 866-908-1363. Note: This is a project-specific announcement and is not related to the Change Healthcare disruption.
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 (07/23)
P-00263 Instructions Related to 837 Health Care Claim: Dental (837D) Transactions Based on ASC X12 Implementation Guide (12/18)
P-00264Instructions Related to 834 Benefit Enrollment and Maintenance (834) Based on ASC X12 Implementation Guide (03/19)
P-00265 Instructions Related to 837 Health Care Claim: Professional (837P) Transaction Based on ASC X12 Implementation Guide (12/18)
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 (07/18)
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 (10/23)
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 (07/23)
 
 
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