The RI Medicaid Companion Guide includes the technical specifications for the:
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837 version 4010A for institutional, professional and dental electronic claims
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997 functional acknowledgement
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277 unsolicited claim response
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835 electronic remittance
These specifications are to be used in conjunction with the National Electronic Data Interchange Transaction Set Implementation Guides to provide supplemental information specific to RI Medicaid as permitted within the structures of the HIPAA transaction sets.
Information pertaining to the EDS translator, interface specifications, the Trading Partner Agreement, Provider Services contacts, and HIPAA resources are also contained in this document
The Companion Guide is in Microsoft WORD format. You will be able to search for items by clicking on edit, then find. Then type in the item you are trying to locate. Also the table of contents is linked – so just click to view the area of the guide from which you are seeking information.
Click here to download the Companion Guide.