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Network Service Agreement - Interactive Form*

Carrier Code Listing

Blanket Approval Criteria

5010 Resources

5010 Iowa Medicaid Companion Document
View the Iowa Medicaid Companion Document, which includes transaction specific information for the Iowa Medicaid Line of Business.

Total OnBoarding

Vendor User Guide

Vendor Tutorials

Companion Documents

837 - Health Care Claim Transactions

• 837 Institutional Companion Document (IA MCD)
• 837 Dental Companion Document (IA MCD)
• 837 Professional Companion Document (IA MCD)

835 - Health Care Electronic Remittance Advice

• Trading Partner Agreement Companion Document (835) (IA MCD)

270/271 - Health Care Eligibility Benefit Inquiry and Response

• 270/271 Companion Document (IA MCD)

820 - Health Plan Premium Payment

• 820 Companion Document (IA MCD)

276/277 - Health Care Claim Status Request and Response

• 276/277 Companion Document (IA MCD)