HIPAA: Electronic Transaction Capability Status
The following shows the current status of PacificSource's electronic transaction capabilities with respect to HIPAA.
| Transaction |
Set |
Description |
Version Status |
| 837P |
Professional claim |
4010X098A1 |
in production |
| 837I |
Institutional claim |
4010X096A1 |
in production |
| 837D |
Dental claim |
4010X097A1 |
in production |
| 834 |
Group enrollment |
4010X095A1 |
in production |
| 835 |
ERA (outbound) |
4010X091 |
in production |
| 270/271 |
Healthcare eligibility inquiry and response |
4010X092 |
in development |
| 276/277 |
Healthcare claim status request and response |
4010X093 |
in development |
| 277/275 |
Healthcare claim request for additional information and response |
4010X098A1 |
in development |
| 278 |
Healthcare services request for review and response |
4010X094 |
in development |
| 820 |
Group premium |
4010X061 |
in development |
You're also welcome to download the following document:
Electronic Payment Enrollment Form
For more information about our electronic transaction capabilities, please contact edisupport@pacificsource.com.