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Download Center :: Companion Guide
No. Companion Guide Pdf
Pdf Zip
1.Eligibility, Coverage or Benefit Inquiry (270) - 4010A1
2.Eligibility, Coverage or Benefit Response (271) - 4010A1
3. Health Care Claim : Professional (837) - 4010A1
4. Health Care Claim : Dental (837) - 4010A1
5. Health Care Claim : Institutional (837) - 4010A1
6. Health Care Service Review - Request for Review (278) - 4010A1
7. Health Care Service Review - Response to Request for Review (278) - 4010A1
8. Health Care Claim Status Request (276) - 4010A1
9.Health Care Claim Status Response (277) - 4010A1
10. Health Care Claim Payment / Advice (835) - 4010A1
11. Health Care Claim : Institutional (837) - 5010A1

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