[Please label any written comments or e-mailed comments about this section with the subject: Addendum 3]
The transaction selected for the professional claim coordination of benefits is ASC X12N 837 - Health Care Claim: Professional (004010X098).
The source of the implementation guide for the professional claim coordination of benefits transaction set is: Washington Publishing Company, 806 W. Diamond Ave., Suite 400, Gaithersburg, MD, 20878, Telephone 301-590-9337, FAX: 301-869-9460. The web site address is http://www.wpc-edi.com/hipaa/
Data elements are found in addendum 1, B.2.
The transaction selected for the institutional claim coordination of benefits is ASC X12N 837 - Health Care Claim: Institutional (004010X096)
The source of the implementation guide for the institutional claim coordination of benefits transaction set is: Washington Publishing Company, 806 W. Diamond Ave., Suite 400, Gaithersburg, MD, 20878, Telephone 301-590-9337, FAX: 301-869-9460. The web site address is http://www.wpc-edi.com/hipaa/
Data elements are found in Addendum 1, C.2.
The transaction selected for the dental claim coordination of benefits is ASC X12N 837 - Health Care Claim: Dental (004010X097).
The source of implementation guide for the dental claim coordination of benefits transaction set is: Washington Publishing Company, 806 W. Diamond Ave., Suite 400, Gaithersburg, MD, 20878, Telephone 301-590-9337, FAX: 301-869-9460. The web site address is http://www.wpc-edi.com/hipaa/
See Addendum 1, D.2.
The transactions selected for retail drug coordination of benefits is NCPDP Telecommunications Standard Format version 3.2 and the equivalent NCPDP Batch Standard Version 1.0.
The source of implementation guide for the retail drug claim coordination of benefits transaction set is: National Council for Prescription Drug Programs, 4201 North 24th Street, Suite 365, Phoenix, AZ, 85016, Telephone 602-957-9105, FAX 602-955-0749. The web site address is http://www.ncpdp.org
See Addendum 1, A.2.