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Technical Specifications

Companion Documents

Companion Guide for 5010 Transactions Internal PDF file (1 MB) (08/14/2017)

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 External link (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 Internal PDF file (664 KB) (06/30/2016)

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 http://www.x12.org External link 

The NCPDP Reference Documents can be downloaded for a fee at http://www.ncpdp.org External link