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COMPANION GUIDE - 278 PRIOR …

EDS SYSTEMS UNIT INDIANA HEALTH COVERAGE PROGRAMS COMPANION GUIDE 278 PRIOR authorization review Request and Response Transaction LIBRARY reference NUMBER: CLEL10016 [ASC X12N 278 (004010X094) AND 004010X094A1 ADDENDA] REVISION DATE: MARCH 2007 VERSION Library reference Number: CLEL10016 Document Management System reference : COMPANION GUIDE 278 PRIOR authorization review Request and Response Transaction (17845) Address any comments concerning the contents of this manual to: EDS HIPAA Business Unit 950 North Meridian Street, Suite 1150 Indianapolis, IN 46204 Fax: (317) 488-5169 EDS and the EDS logo are registered marks of Electronic Data Systems Corporation.

INDIANA HEALTH COVERAGE PROGRAMS. Companion Guide – 278 Prior Authorization Review Request and Response Transaction . LIBRARY REFERENCE NUMBER: CLEL10016

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