Get a Form or Publication: 835 Remittance Advice

Your search for "835 Remittance Advice" returned 2 documents.

Title Type Number
ASC X12N 005010 EDI Transactions Companion Guide

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)

Manual F245-398-000
Pharmacy Companion Guide

This guide details the HIPAA ASC X12N 004010 format structure for 835 Pharmacy Remittance Advice and provides information regarding electronic billing to the department via Provider Express billing (PEB)

Manual F245-400-000



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