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837 Transaction Companion Guide Updates

July 29, 2008

The 837 Version 4010A1 Health Care Claim Companion Guide has been updated to reflect “Loop 2410” changes required to support collection of the new National Drug Code (NDC) related data fields for Physician Administered Drugs. These changes have been made to the ANSI ASC X12N 837 v.4010A1 Institutional Specifications, Outpatient Data Specifications and the ANSI ASC X12N 837 v.4010A1 Professional Specifications, Medical Data Specifications manuals.

The updated guides and change logs are also available in the ASC X12N Version 4010A1 Companion Guides and NCPDP Technical Specifications page.

Additional Resources
For more information, providers may call the Telephone Service Center (TSC) at 1-800-541-5555. Border providers, software vendors and out-of-state billers who bill for in-state providers may call the Border Provider Line at (916) 636-1200.

Providers may continue to obtain claim status information by calling the Provider Telecommunications Network (PTN) at 1-800-786-4346 for in-state providers or (916) 636-1950 for out-of-state, border and local providers. A paper Claims Inquiry Form (CIF) may also be used to inquire about a claim for which payment has not been received.