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Technical Specifications

 

Companion Documents

Companion Guide for 5010 Transactions (830 KB)(08/22/12)

This Companion Guide contains information regarding the following transactions; the 837 claim format, the 835 remittance notice, and the 276/277 transaction in the 5010 format. This is intended as a reference to be used in addition to the ANSI ASC X12 Technical Reports (TR3). This document references only Medicare DMEPOS specific information.

835 Companion Guide (08/22/12)

This guide contains information regarding the 835 claim format. This is intended to be used as a reference document in addition to the other 835 reference documents. This document addresses only Medicare DMEPOS specific information.

National Council for Prescription Drug Programs (NCPDP) D.0 Companion Guide (06/15/11)

This guide contains information regarding the NCPDP D.0 claim format. This is intended to be used as a reference document in addition to the other NCPDP reference documents. This document addresses only Medicare DMEPOS specific information.

 

Technical Reports Type 3 (TR3) and NCPDP Reference Documents

The TR3s (5010) can be downloaded for a fee at www.x12.org

The NCPDP Reference Documents can be downloaded for a fee at www.ncpdp.org