HIPAA Materials for Electronic Transactions

837 Professional Transaction Companion Guide

837D Dental Transaction Companion Guide

837I Institutional Transaction Companion Guide

834 Benefit Enrollment & Maintenance Guide

835 Health Care Claim/Payment Advice Guide

835/Electronic Remittance Advice and EFT Enrollment Form

Trading Partner Enrollment Form

Secure FTP Access Request

For more information about our electronic transaction capabilities, please contact edisupport@pacificsource.com.

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