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X12N 837
Institutional Health Care Claim Companion
Document
The Health Insurance Portability and
Accountability Act (HIPAA) requires that Medicare, and
all other health benefit payers in the United States,
comply with the EDI standards for health care as
established by the Secretary of Health and Human
Services.
A companion document is defined as a
set of statements, which supplements the X12N 837
Institutional Implementation Guide (IG) version 4010A1
and clarifies the contractor expectations regarding data
submission, processing, and adjudication. The X12N 837
IGs have been established as the standards of compliance
for claim transactions. The IGs for each transaction are
available electronically at http://www.wpc-edi.com/hipaa.
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- The Empire Medicare Services Medicare Part A
companion documents listed below are on the EMS
Web site at · www.empiremedicare.com
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From the homepage, move your cursor
over the Health Insurance Portability and
Accountability Act link, and a floating menu will
appear.
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Click on the companion document
link.
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Read and accept the “CPT
License for Use.”
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This will take you to the links for
the companion documents. The companion documents are
portable document format (PDF) files.
Part A
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835 Part A Companion Document
(V4010A1) - updated as of 09/18/2003
Updated to include provider level adjustment code
change from BN to IS
(interim settlement) in PLB03-2 for Transitional
Outpatient Payments (TOPs).
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837 Part A Companion
Document (V4010A1) - updated as of
09/18/2003
Updated to include Program
Memorandum A-03-064 Change Record #2505
X12N 837 Institutional Health Care Claim Companion
Document instructions.
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837 COB Part A Companion
Document (V4010A1) - updated as of
09/18/2003
Updated to include
delimiter changes in the 837 COB files.
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276/277 Companion Document
(V4010A1) - New as of
09/15/2003
Program Memorandum A-03-064,
CR# 2505
Posted: 09/19/2003
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