Vendors

Network Service Agreement [PDF] - Interactive Form*

Blanket Approval Criteria [PDF]

Approved Vendors

• 5010 Approved Vendors [XLSX]

Companion Documents

Medicare

837 Transaction - Health Care Claims Transactions

• 5010A2 - Part A 837 Companion Guide [870KB] [PDF]
• 5010A1 - Part B 837 Companion Guide [1069KB] [PDF]
• Dental 837D Companion Guide [947KB] [PDF]

835 Transaction - Health Care Electronic Remittance Advice

• 5010A1 - 835 Claim Payment/Remittance Advice Companion Guide [539KB] [PDF]

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

• 5010 - 276/277 Claim Status Request and Response Companion Guide [546KB] [PDF]