Current HIPAA Transaction Set

Verify your business is authorized to access the Internet Electronic Claims (IEC) System. You will need access to this application in order to exchange HIPAA format with HFS. The IEC System also allows authorized businesses to submit Drug Invoices through the Claim Submission DDE.

HFS is currently in the process of providing the ability to exchange Drug Invoices and the following HIPAA transactions over the Internet with businesses that have the appropriate authorized access. Check the IEC System Help Manual for information on what transactions are currently available.

X12N Transaction Number

Version

Transaction Name

270

x4010a

Recipient Eligibility Inquiry

271

x4010a

Recipient Eligibility Response

276

x4010a

Claim Status Inquiry

277

x4010a

Claim Status Response

278

x4010a

Prior Approval Request and Response

824

x4050

Acknowledgment

835

x4010a

Remittance Advice

837D

x4010a

Dental Claim

837I

x4010a

Institutional Claim

837P

x4010a

Professional Claim

835

x4010a

Remittance Advice

997

x4010a

Acknowledgment

Related Topics

HIPAA Transactions Provider Type Cross Reference

Payee Application Access and HIPAA Cross Reference