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DHS HIPAA Companion Guides and Manuals

 

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NOTE: The guides and manuals listed below are in Adobe Acrobat (pdf) format. If you do not already have the free Acrobat Reader software, you can download it now.


Recent Changes Matrix - 08/1/2007


Companion Guides

DHS will post companion guides here, as they become available, with necessary information to complete transactions with DHS.

Title

Version

Eff. Date
DHS 835 Fee For Service Payment/Advice Companion Guide v1.22 1/25/2007
DHS 835 Pharmacy - Fee For Service Payment/Advice Companion Guide v1.0 2/17/2007
DHS 835 Encounter Payment/Advice Companion Guide v1.21 10/26/2004
DHS Pharmacy Companion Guide for Pharmacy Encounter Data   v1.08 3/13/2007
DHS 837 Professional Companion Guide for Atypical Providers— Fee for Service 4010A1 v1.5.2 10/23/2007

Fee-for-Service NPI Companion Guides

Version

Eff. Date
DHS 837 Professional  Fee-for-Service 4010A1 v1.5.3 08/28/07
DHS 837 Dental  Fee-for-Service 4010A1 v1.5.3 08/28/07
DHS 837 Institutional  Fee-for-Service 4010A1 v1.5.3 08/28/07

Combined - Fee-for-Service and Encounter

Version

Eff. Date
DHS 270 Health Care Eligibility Verification Inquiry  - Companion Guide v2.0 10/2007
DHS 271 EB05 and MSG01 Element Definitions v3.1 2/29/2008
DHS 271 Health Care Eligibility Benefit Response  - Companion Guide v2.0 10/2007
DHS 276 Health Care Claim Status Request  - Companion Guide v2.0 10/2007
DHS 277 Claim Status Crosswalk v1.0 3/23/2005
DHS 277 Health Care Claim Status Response   - Companion Guide v2.0 10/2007

Encounter NPI Companion Guides

Version

Eff. Date
DHS 837 Professional  Encounter 4010A1 1.5.3 08/28/07
DHS 837 Dental  Encounter 4010A1 1.5.3 08/28/07
DHS 837 Institutional  Encounter 4010A1 1.5.3 08/28/07
DHS 820 Capitation Payment Companion Guide v1.3 2/8/2005
DHS 834  Maintenance Reason Code Crosswalk v3.1 5/5/2008
DHS 834 Enrollment File - Addition  - Companion Guide v2.16 1/25/2007
DHS 834 Enrollment File - Audit or Compare  - Companion Guide v2.14 1/25/2007
DHS 834 Enrollment File - Change  - Companion Guide v2.23 1/25/2007
DHS 834 Enrollment File - Closed  - Companion Guide v2.3 1/25/2007
DHS 834 HD04 Element Definitions v2.6 3/12/2008
DHS 834 Enrollment Crosswalk v2.0 12/8/2006
DHS 834 PHP Contract Service Area Translation Codes v3.0 6/28/2007
DHS 834 Language Code Crosswalk v1.5 5/30/2006
DHS 834 Race Code Crosswalk v1.0 2/12/2004

Companion Guide Addendums

Version

Eff. Date
DHS 837 Companion Guide — Addendum for DHS-internal agencies v1.0 12/18/2003
DHS 837 Companion Guide — Addendum for Medicare agencies v1.0 12/18/2003
DHS 837 Companion Guide Addenda - Decision Tree for Providers Submitting Fee for Service Medicaid Claims vFinal 05/04/2004

 



Manuals


Title

Version

Eff. Date
Mailbox Access Instructional Manual  v1.53 02/06/2007
Mailbox Access and Pharmacy Data Guide v2.6 03/25/2005
Mailbox Access and B2B Testing Manual v2.7 02/06/2007
Mailbox Access and B2B Testing Manual for Managed Care Plans  v2.7 02/06/2007


DHS EDI transaction "down time" table (PDF)


 

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Page updated: September 03, 2008

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