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HIPAA Transaction Sets

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This topic describes the HIPAA transaction sets and versions that are supported by BizTalk Server.

HIPAA Transaction Sets and Versions

  4010A1 5010 Description
270 Checkmark Checkmark Eligibility, Coverage or Benefit Inquiry - Request
271 Checkmark Checkmark Eligibility, Coverage or Benefit Information - Response
276 Checkmark Checkmark Health Care Claim Status - Request
277 Checkmark Checkmark Health Care Claim Status - Response
278 Checkmark Checkmark Health Care Services Review - Request and Response
834 Checkmark Checkmark Health Care Benefit(s) Enrollment and Maintenance
835 Checkmark Checkmark Health Care Claim Payment(s)
837D Checkmark Checkmark Health Care Claim(s) - Dental
837I Checkmark Checkmark Health Care Claim(s) - Institutional
837P Checkmark Checkmark Health Care Claim(s) - Professional
820 Checkmark Checkmark Payroll Deduction

See Also

X12 Transaction Sets 100-250
X12 Transaction Sets 251-503
X12 Transaction Sets 504-999
EDIFACT Transaction Sets APERAK-IFTRIN
EDIFACT Transaction Sets IFTSAI-WKGRRE
EANCOM