IHCP Companion GuideS

This page contains IHCP Companion Guides for production version 5010.

HIPAA 5010 Companion Guides

This list features Health Insurance Portability and Accountability Act (HIPAA) version 5010 IHCP Companion Guides to be used for version 5010 transactions. The guides contain structure and transaction specifications. The IHCP Companion Guide Overview and the IHCP Notes provide Indiana Medicaid-specific information. These guides have been updated to include information and modifications for CoreMMIS. See the revision history document for specific updates. Providers and electronic data interchange (EDI) vendors developing software for electronic data interchange may need to view multiple guides. The IHCP Upcoming Companion Guide Changes are available on a separate page.

Name Date Updated
IHCP Connectivity Guide V3.3 (formerly IHCP Communications Guide) June 2018
TA-1 and 999 Acknowledgements V1.3 April 2017
270/271 Health Care Eligibility Benefit Inquiry and Response Transactions V3.5
September 2018
276/277 Health Care Claim Status Request and Response Transactions V3.2 April 2017 
277U Health Care Payer Unsolicited Claim Status Response V3.1 September  2017
278 Prior Authorization Request and Response V3.0 August 2017
820 MCE Capitation Payment Information Transaction V3.4 July 2018
834 MCE Benefit Enrollment and Maintenance Transaction V4.9 August 2018
835 Health Care Claim Payment/Advice Transaction V3.2 July 2018
837D Health Care Claim: Dental Transaction V3.4 July 2018
837I Health Care Claim: Institutional Transaction V3.3 July 2018
837P Health Care Claim: Professional Transaction V3.3 July 2018