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Empire BlueCross BlueShield Commercial Business

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As federally mandated, Health plans are required by law to have the ability to send and receive HIPAA-compliant transactions. Specific Empire business requirements are further clarified in the following Transaction Specific Companion Documents, supplemental to HIPAA Implementation Guides/TR3s, for efficient processing through Empire systems.  
 
5010 Companion Guide 
 
What’s Changing for 5010 
837  
835  
834  
270/271 
276/277  
278  
 
Section A – EDI User Guide  
834 User Guide (for Employer Groups)
User Guide (all transactions except 834)
 
Communication Protocol 
EDI HTTPS File Upload
 
Section B – Transaction Specific Companion Documents  
837I Health Care Claim  
837P Health Care Claim  
835 Health Care Claim Payment/Advice  
834 Benefit Enrollment and Maintenance  
278 Prior Authorization  
276/277 Claim Status - batch  
276/277 Claim Status – real-time  
270/271 Eligibility - batch  
270/271 Eligibility – real-time  
 
III. Electronic Guides  
 
TCP/IP User Guide  
E-link User Guide  
HTTPS EDI Portal  
 
Institutional  
Institutional 837 Enumeration and Contractual Chart  
Blue Cross 837 to UB92 Corrections User Manual  

The documents on this page are available in Adobe Acrobat format. Adobe Acrobat can be downloaded here.

 
 
Archived 4010A1 Companion Guide – December 2011  
©2013 Empire BlueCross BlueShield

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