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ND Health Enterprise Medicaid Management Information System (MMIS)

Companion Guides

The Companion Guides are for use by North Dakota Trading Partners.

They are to be used in conjunction with the Accredited Standards Committee (ASC) X12 Technical Report Type 3 (TR3) Guides, including all related errata documents. The Companion Guides define state-specific requirements in electronic transactions, remaining within the framework and code sets as defined in the TR3s, which support rules as defined by the Health Insurance Portability and Accountability Act (HIPAA).

ND Companion Guide 270/271 Health Care Eligibility Benefit Inquiry and Response Updated May 2017
ND Companion Guide 276/277 Health Care Claim Status Request and Response Updated May 2017
ND Companion Guide 277CA Health Care Claim Acknowledgment Updated May 2017
ND Companion Guide 278 Health Care Services Review – Request for Review and Response Updated May 2017
ND Companion Guide 820 Payroll Deducted and Other Group Premium Payment for Insurance Products Updated May 2017
ND Companion Guide 834 Benefit and Enrollment Maintenance Updated May 2017
ND Companion Guide 835 Health Care Claim Payment/Advice Updated May 2017
ND Companion Guide 837D Health Care Claim: Dental Updated May 2017
ND Companion Guide 837I Health Care Claim: Institutional Updated May 2017
ND Companion Guide 837P Health Care Claim: Professional Updated May 2017

 

Managed Care Organizations (MCO) - Encounter Claims

ND Companion Guide 837D Encounter Health Care Claim: Dental Updated June 2018
ND Companion Guide 837I Encounter Health Care Claim: Institutional Updated June 2018
ND Companion Guide 837P Encounter Health Care Claim: Professional Updated June 2018
ND MCO Encounter Adjustment Processing Guidelines Health Care Encounter Adjustment Processing Guidance Updated June 2018
ND MCO Encounter Claims FAQ Health Care Encounter Claim FAQ Updated Feb. 2018
ND MCO Procedures Requiring NDC Codes Procedures Requiring NDC Codes June 2018

 

Contact

N.D. Department of Human Services
Medical Services
600 East Boulevard Avenue, Dept. 325
Bismarck, N.D. 58505-0250
Phone: (800) 755-2604

 

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