| Document Information | ||
|---|---|---|
Get help downloading & printing files. |
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| Title |
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| Description | This guide details the HIPAA ASC X12N 004010 format structure for EDI and provides information regarding electronic billing to the department via Provider Express billing (PEB). | |
| Detail | ||
| Form number | F245-399-000 | |
| Availability | Online only. See document above to download. |
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| Keywords | 4010, 4010 Companion Guide, 837 Institutional, 837 Professional, ASC X12 format, electronic billing format, HIPAA format | |
| Languages | English | |
| Valid dates | 03-2007 | |
| Contact information |
Electronic Billing
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|
| Web pages | Electronic Billing | |
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