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Network Service Agreement - Interactive Form*

Blanket Approval Criteria

5010 Resources

View the 5010 edit spreadsheets as PDF files for both the 837P and 837I transactions.

View the Medicare FFS Companion Document

Total OnBoarding

Vendor User Guide

Vendor Tutorials

Companion Documents

Medicare

837 Transaction - Health Care Claims Transactions

• 5010A2 - Part A 837 Companion Guide [PDF, 188KB]
• 5010A1 - Part B 837 Companion Guide [PDF, 306KB]

835 Transaction - Health Care Electronic Remittance Advice

• 5010A1 - 835 Claim Payment/Remittance Advice Companion Guide [PDF, 129KB]

276/277 Transaction - Health Care Claim Status Request and Response

• 5010 - 276/277 Claim Status Request and Response Companion Guide [PDF, 121KB]