HIPAA EDI
TRANSACTION SETS
- 270/271 - Eligibility
- 275 - Additional Information to Support Claims/Encounters
- 276/277 - Claim Status
- 278 - Prior Authorization
- 820 - Premium Payments
- 834 - Benefit Enrollment and Maintenance
- 835 - Claim Payment and Remittance Advice
- 837 - Claims (Dental, Professional, and Institutional)
- Implementation of X12 5010
- National Required Transactions
MEDICAL CODES
- ICD-10
- CPT-4
- HCPCS
- CDT
- NDC
- Local Codes Prohibited
PROVIDER
-
FL Medicaid NPI Requirements
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23.8 kB
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No embedded intelligence - 10+3 position numeric, one-digit checksum
Sub-ID may appear on health card & direct EDI
No embedded intelligence
