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Medicaid Systems Project

Companion Guides

The Companion Guides are for use by North Dakota Trading Partners upon implementation of the new Medicaid Management Information System.

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

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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