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To assist our trading partners, Uniprise developed these companion documents to describe the company-specific details for HIPAA transactions.

The Uniprise companion documents contain only supplementary instructions for the HIPAA implementation guides. These companion documents do not replace or modify the HIPAA implementation guides, but should be used in conjunction with them (the HIPAA implementation guides can be found at www.wpc-edi.com).

Please follow the instructions in these companion documents to ensure effective and efficient processing of your transactions

HIPAA Companion Documents

General Information View Information

Glossary of Terms

www.wpc-edi.com

 

 

Standard Transactions & Code Sets Listing View PDF
Transaction Type Transaction Number
 1. Eligibility Benefit Inquiry Transactions

270 (004010X092)

 2. Eligibility Benefit Response Transactions

271 (004010X092)

 3. Claim Status Request Transactions

276 (004010X093A1)

 4. Claim Status Response Transactions

277 (004010X093) - No PDF 
For this transaction,  no Uniprise specific instructions are necessary

 5. Health Care Services Review Transactions

278 Referral (004010X094A1)
278 Authorization (004010X094A1)

 6. Premium Payments Transactions

820 (004010X061)

 7. Benefit Enrollment and Maintenance Transactions

834 (004010X095A1)

 8. Payment and Remittance Advice Transactions

835 (004010X091A1)

 9. Institutional Claim Transactions

837 (004010X096A1)

10. Professional Claim Transactions

837 (004010X098A1)

11. Functional Acknowledgement Transactions

997 - No PDF
For this transaction,  no Uniprise specific instructions are necessary

Note: The HIPAA Web site will be continually updated so check back often for more information.

 


This material is provided on the recipient's agreement that it will only be used for the purpose of describing Uniprise products and services to the recipient. Any other use, copying or distribution without the express written permission of Uniprise is prohibited. - 07/13/07



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