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Indiana State Department of Health

CSHCS Home > EDI Solutions > X 12 EDI Companion Guides X 12 EDI Companion Guides

Section 1 - Introduction

Section 2 - Communication and Data Exchange

  • Technical Specifications and Interchange
  • Control Structure

Section 3 - Transaction Specifications

  • 4010 Transactions

    Eligibility Inquiry & Response

    Remittance Advice

    Health Care Claim – Professional

    Health Care Claim – Institutional

    Health Care Claim – Dental

  • 5010 Transactions

    Eligibility Inquiry & Response

    Remittance Advice

    Health Care Claim - Dental

    Health Care Claim - Institutional

    Health Care Claim - Professional

  • Section 4 - Acknowledgements

  • 4010 Transactions

    Application Advice

    Functional Acknowledgement

    Interchange Acknowledgement

  • 5010 Transactions

    5010_824

    5010_999

    5010_TA1

    Application Advice

    Application Advice

    Application Advice

  • Section -5 Testing Requirements

    Testing Procedure and Requirements

    Test Subjects and Situations" with link to document