N.C. DMA : 837 Professional Companion Guide Specifications - ncdhhs 2025

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Companion Guides are designed to reinforce online course material, helping students focus on important concepts and organize their study time for quizzes and exams.
Companion Guides (CGs) may contain two types of data, instructions for electronic communications with the publishing entity (Communications/Connectivity Instructions) and supplemental information for creating transactions for the publishing entity while ensuring compliance with the associated ASC X12 IG (Transaction
Filing Claims The North Carolina Medicaid program requires providers to file claims electronically (with some exceptions) using the NCTracks claims processing and provider enrollment system.
Our Electronic Data Interchange (EDI) Companion Guides describe specific requirements for trading partners who exchange electronic transactions directly with Blue Shield of California Promise Health Plan (not through a vendor or clearinghouse).
This document provides information on Centene- specific code handling and situation handling that is within the parameters of the HIPAA administrative Simplification rules. Readers of this Companion Guide should be acquainted with the HIPAA Technical Reports Type 3, their structure and content.
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Division of Medical Assistance manages the North Carolina Medicaid and Health Choice for Children programs. Medicaid. provides health insurance for low-income children, families of dependent children, pregnant women, seniors, and.
The Companion Guides are to clarify, supplement and further define specific data content requirements to be used in conjunction with, and not in place of, the X12 Technical Review Type 3 (TR3s) and National Council for Prescription Drug Programs (NCPDP) Implementation Guides for all transactions mandated by HIPAA and/
North Carolinas Transformation to NC Medicaid Managed Care On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services under NC Medicaid Managed Care. With managed care, beneficiaries choose a health plan and get care through the health plans network of doctors.

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