HIPAA 270, 271, 276, 277, 278, 820, 834, 835, 837, 999 – EDI Help & Support

HIPAA Templates

Are you ready to implement Electronic Visit Verification (EVV)? We have done it for you:

	Transaction	4010	5010	5010 Errata
270	Eligibility, Coverage or Benefit Inquiry	4010X092A1	5010X279	5010X279A1
271	Eligibility, Coverage or Benefit Information	4010X092A1	5010X279	5010X279A1
276	Health Care Claim Status Request	4010X093A1	5010X212
277	Health Care Information Status Notification	4010X093A1	5010X212
277 CA	Health Care Claim Acknowledgment			5010X214
278	Health Care Services Review Information Request	4010X094A1	5010X217
820	Payment Order/Remittance Advice	4010X061A1	5010X218
834	Benefit Enrollment and Maintenance	4010X095A1	5010X220	5010X220A1
835	Health Care Claim Payment/Advice	4010X091A1	5010X221	5010X221A1
837 P	Health Care Claim Professional	4010X098A1	5010X222	5010X222A1
837 I	Health Care Claim Institutional	4010X096A1	5010X223A1	5010X223A2
837 D	Health Care Claim Dental	4010X097A1	5010X224A1	5010X224A2
999	Implementation Acknowledgment			5010X231A1