Transcription of Provider EDI Reference Guide - Highmark
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Provider EDI Reference Guide - Highmark
Highmark is a registered mark of Highmark EDIR eference GuideHighmark EDI OperationsApril 5, 2010**This page left blank intentionally.**April 5, 20103 Table of ContentsChapter 1 Supported EDI Transactions.. Real-Time Transaction Capability.. Real-Time Technical Connectivity Specifications.. Real-Time Claim Adjudication and Estimation .. General Requirements and Best Practices .. 16 Chapter 2 General Information192 Contact Information .. System Operating Hours.. Provider Data Services .. Audit Procedures .. Valid Characters in Text Data (AN, string data element type) .. 21 Chapter 3 Security Confidentiality .. Authorized Release of Information .. 23 Chapter 4 Authorization Where to Get Enrollment Forms to Request a Trading Partner ID Receiving 835 Transactions Generated from the Payment Cycle (Batch) .. Adding a New Provider to an Existing Trading Partner.. Deleting Providers from an Existing Trading Partner .. Reporting Changes in Status.
® Highmark is a registered mark of Highmark Inc. Provider EDI Reference Guide Highmark EDI Operations April 5, 2010
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