Indiana Health Coverage Programs - EDI Solutions

IHCP Companion Guides

This is a list of the IHCP Companion Guides for Production. Providers and EDI vendors developing software for electronic data interchange may need to view multiple guides. The IHCP Pre-Release Companion Guides are available on a separate page.

General Introduction

This document contains general information about electronic standards and trading partner testing.

Communications Guide

This manual contains submitting and receiving communication options. See the revision history for specific updates.

Reports and Acknowledgements

This manual contains information about IHCP EDI reports including the 997 Functional Acknowledgment, Biller Summary Report, and 276 Reject Report. See the revision history for specific updates.

270/271 Eligibility Benefit Transaction

This manual contains the interchange control structure and transaction specifications information. See the revision history for specific updates.

276/277 Claim Status Request and Response Transaction

This manual contains the interchange control structure and transaction specifications information. See the revision history for specific updates.

278 Prior Authorization Review Request and Response Transaction

This manual contains the interchange control structure and transaction specifications information. See the revision history for specific updates.

820 MCO Capitation Payment Transaction

This manual contains the interchange control structure and transaction specifications information. See the revision history for specific updates.

834 MCE Benefit Enrollment and Maintenance Transaction

This manual contains detail on the file contents of the HIPAA 834 report - member enrollment. See the revision history for specific updates.

835 Remittance Advice Transaction

This manual contains the interchange control structure and transaction specifications information. See the revision history for specific updates.

837 Dental Claims Transaction

This manual contains the interchange control structure and transaction specifications information. See the revision history for specific updates.

837 Professional Claims and Encounters Transaction

This manual contains the interchange control structure and transaction specifications information. See the revision history for specific updates.

837 Institutional Claims and Encounters Transaction

This manual contains the interchange control structure and transaction specifications information. See the revision history for specific updates.

Payer Sheet (5/23/2008)

This manual contains the information specific to the NCPDP Versions 1.1 and 5.1 transactions for Indiana Medicaid effective 5/23/2008. See the revision history for specific updates.

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