Companion Guides for EDI implementation

To help our physicians and providers implement HIPAA-compliant EDI transactions, Fallon Community Health Plan has created several documents. Listed below are the FCHP-specific Companion Guides to the official EDI Implementation Guides. We hope you find them helpful.

Download the FCHP Companion Guide to the:

• Benefit Enrollment and Maintenance ANSI X12 834 Version 4010 Implementation Guide (PDF, 145KB)
• Health Care Claim Status Request and Response ANSI X12N 276/277 (Version 004010X093A1) Implementation Guide (PDF, 100KB)
• Health Care Claims Submission X12N 837 (Version 4010) Implementation Guide—Institutional (PDF, 1.35MB)
• Health Care Claims Submission X12N 837 (Version 4010) Implementation Guide—Professional (PDF, 1.24MB)
• Health Care Eligibility Benefit Inquiry and Response ACS X12N 270/271 (004010X093A1) Implementation Guide (PDF, 67KB)
• Health Care Payment/Advice ANSI X12 835 (Version 004010X091A1) Implementation Guide (PDF, 87KB)
• Premium Payment Submission ANSI X12 820 (Version 4010x61) Implementation Guide (PDF, 86KB)