eEDI Your HIPAA Clearinghouse

Health Care Claim: Professional (837)	PDF
Health Care Claim: Institutional (837)	PDF
Health Care Claim: Dental (837)	PDF
Benefit Enrollment and Maintenance (834)	PDF
Eligibility, Coverage or Benefit Inquiry (270)	PDF
Eligibility, Coverage or Benefit Information (271)	PDF
Health Care Claim Status Request (276)	PDF
Health Care Claim Status Notification (277)	PDF
Health Care Services Review Request (278)	PDF
Health Care Services Review Response (278)	PDF
Payment Order/Remittance Advice (820)	PDF
Health Care Claim Payment/Advice (835)	PDF

Download Guidelines from Washington Publishing

Download our 837 Implementation Guide	XLS

Click on or Right Click on any of the above files and select "save Target as" to download

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