Vendors
Network Service Agreement - Interactive Form*
5010 Resources
View the 5010 edit spreadsheets as PDF files for both the 837P and 837I transactions. Download Excel versions for 837P and 837I transactions.View the Medicare FFS Companion Document
Total OnBoarding
Companion Documents
Medicare
837 Transaction - Health Care Claims Transactions
835 Transaction - Health Care Electronic Remittance Advice
276/277 Transaction - Health Care Claim Status Request and Response
Blue Cross Blue Shield of ND & WY
The HIPAA Transaction technical documents below, apply to the following companies unless noted otherwise:
Blue Cross Blue Shield of North Dakota (BCBSND)
Blue Cross Blue Shield of Wyoming (BCBSWY)
Dental Service Corporation of North Dakota (DSC)
North Dakota Vision Services, Inc. (VSI)
837 Health Care Claim & COB & Acknowledgment - Professional
837 Health Care Claim & COB & Acknowledgment - Institutional
837 Health Care Claim & COB & Acknowledgment – VSI
837 Health Care Claim & COB & Acknowledgment - DSC
835 Health Care Payment & Remittance Advice
270 Health Care Eligibility/Benefit Inquiry
271 Health Care Eligibility/Benefit Response
276 Health Care Claim Status Request
277 Health Care Claim Status Response
278 Health Care Services Review - Request for Review and Response
820 Health Plan Premium Payment
834 Enrollment & Disenrollment