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HIPAA companion (EDI) guides
The WEA Trust and health care providers who submit electronic claims are covered entities under HIPAA's Administrative Simplification Act (HIPAA). Covered entities are required to comply with HIPAA's electronic document interchange (EDI) standards for health care. The Department of Health and Human Services also encourages covered entities to share companion guides to facilitate the efficient implementation of HIPAA's EDI standards.
Companion Guides
These documents supplement the HIPAA Implementation Guides and provide specific business requirements that the WEA Trust will require in order to conduct compliant transactions.
Guides for each transaction are available below as downloadable PDF documents.
HIPAA health care claim: professional transaction companion guide
For implementation guide ASC X12N
837P
(004010X098A1) published October 2002.
HIPAA health care claim: institutional transaction companion guide
For implementation guide ASC X12N
837I
(004010X096A1) published October 2002.
HIPAA Health Care Claim: Dental Transaction Companion Guide
For Implementation Guide ASC X12N
837D
(004010X097A1) published October 2002.
HIPAA health care claim payment/advice transaction companion guide
For implementation guide ASC X12N
835
(004010X091A1) published October 2002.
HIPAA health care eligibility benefit inquiry and response companion guide
For implementation guide ASC X12N
270/271
(004010X092A1) published October 2002.
HIPAA health care claim status request and response transaction companion guide
For implementation guide ASC X12N
276/277
(004010X093A1) published October 2002.
HIPAA health care services review--request for review and response companion guide
For implementation guide ASC X12N
278
(004010X094A1) published October 2002.
WEA Trust NPI Contingency Plan
This document explains how WEA Trust will process electronic transactions while the industry moves toward full compliance with the HIPAA National Provider Identifier (NPI) regulations.
Trading partner requirements for data exchange
This document provides information on what you will need to do to make a direct connection with the WEA Trust for the exchange of HIPAA compliant transactions.
Web Site Notice
What Is HIPAA
HIPAA Notice
HIPAA Forms
HIPAA EDI Guides
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