|
|
|
|
|
|
|
|
 |
 |
 |
 |
 |
 |
 |
|
To assist our trading partners, UnitedHealthcare® National
Accounts developed these companion documents to describe the company-specific
details for EDI transactions.
These companion documents contain only supplementary instructions for
the ASC X12 implementation guides. These companion documents do not replace or
modify the implementation guides, but should be used in conjunction with them
www.wpc-edi.com).
Please follow the instructions in these companion documents to ensure effective
and efficient processing of your transactions.
HIPAA Companion Documents
| HIPAA Standard Transactions & Code Sets Listing | View PDF |
| Transaction Type | Transaction Number |
| 1. Eligibility Benefit Inquiry and Response Transactions | |
| 2. Claim Status Request Transactions | |
| 3. Claim Status Response Transactions | 277 (004010X093) - No PDF |
| 4. Health Care Services Review Transactions | 278
Referral (004010X094A1) |
| 5. Premium Payments Transactions | |
| 6. Benefit Enrollment and Maintenance Transactions | |
| 7. Payment and Remittance Advice Transactions | |
| 8. Institutional Claim Transactions | |
| 9. Professional Claim Transactions | |
| 10. Functional Acknowledgement Transactions | 997
- No
PDF |
| 11. Lab Result Companion Guide |
Non-HIPAA Companion Documents
The following documents describe our use of industry standard ASC X12 transactions
that service business events not covered by the HIPAA regulations.
| Non-HIPAA Standard Transactions & Code Sets Listing | View PDF |
| Transaction Type | Transaction Number |
| 1. Hospital Admission Notification Transactions |
This material is provided on the recipient's agreement that it will only be used for the purpose of describing UnitedHealthcare National Accounts products and services to the recipient. Any other use, copying or distribution without the express written permission of UnitedHealthcare National Accounts is prohibited. - 07/13/07