| Document Information | ||
|---|---|---|
Get help downloading & printing files. |
||
| Title |
|
|
| Description | Description: This guide details the HIPAA ASC X12N 005010 format structure for EDI and provides information regarding electronic billing To the department via Provider Express Billing (PEB) | |
| Detail | ||
| Form number | F245-398-000 | |
| Availability | Online only. See document above to download. |
|
| Keywords | 5010, 5010 companion guide, 835 Remittance Advice, 837 Institutional, 837 Professional, ASC X12 format, companion guide, electronic billing format, HIPAA format | |
| Languages | English | |
| Valid dates | 10-2011 | |
| Contact information |
Electronic Billing
|
|
| Web pages | Electronic Billing | |
Please take this survey to help improve the L&I website.
Take survey
(About 3 minutes)
© Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.