Electronic solutionsHIPAA InformationThe Health Insurance Portability and Accountability Act (HIPAA) mandates the standardization of EDI formats for health care data transmission, which includes claims, remittance, eligibility and claim status inquiries. HIPAA regulations replace the HCFA 1500 and UB92 Claims formats with ASC X12N 837 Transactions. The BCBSNC Companion Guide is available to assist trading partners in understanding Blue Cross and Blue Shield of North Carolina (BCBSNC) code and situation handling used in processing the ANSI ASC X12N Transactions. In October, 2010, two different versions of the Companion Guide will be available: one for x12 version 4010 and one for x12 version 5010. At that time, the Companion Guide for 5010 versions will be available for the 270/271 (Health Eligibility Inquiry) and both 837 (Health Care Claims) transaction types.
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