IN.gov - Skip Navigation

Note: This message is displayed if (1) your browser is not standards-compliant or (2) you have you disabled CSS. Read our Policies for more information.


Mobile Site RSS Feeds

CSHCS Home > EDI Solutions > X 12 EDI Companion Guides X 12 EDI Companion Guides

Section 1 - Introduction

Section 2 - Communication and Data Exchange

  • Technical Specifications and Interchange
  • Control Structure

    Section 3 - Transaction Specific Specifications

    270/271

    835

    837P

    837I

    837D

    Eligibility Inquiry & Response

    Remittance Advice

    Health Care Claim – Professional

    Health Care Claim – Institutional

    Health Care Claim – Dental

    Section 4 - Acknowledgements

    824

    997

    TA1

    Application Advice

    Functional Acknowledgement

    Interchange Acknowledgement

    Please note: The 276/277 "Claim Status Request & Response" and the 278 "Prior Authorization Request & Response" pages in Section 3 will be published when they are completed.

    Stay Connected

    You are leaving the IN.gov website. By clicking OK, you will be taken to a website that is not affiliated with the State of Indiana and may have different privacy and security policies. The State of Indiana is not responsible for, and does not endorse, guarantee, or monitor content, availability, viewpoints, products, or services that are offered or expressed on this non IN.gov portal website.