| Electronic Transaction Guides |
Access these guides by calling the EC Solutions Assistance Center at
800-407-0267. You may also view them online if you have secure access to the EDS Web BBS Web site  : |
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| HIPAA-AS 5010 Wellmark Companion Guides |
- 270-271 Eligibility and Benefits - ANSI Version 5010A1
 (115KB, 12/11)
- Real Time Eligibility Guide - ANSI Version 5010A1 (528KB, 12/11)
- 276-277 Claim Status - ANSI Version 5010 (184KB, 12/11)
- 278 Request for Review - ANSI Version 5010 (155KB, 12/11)
- 834 Enrollment and Maintenance - ANSI Version 5010A1 (216KB, 01/12)
- 835 Electronic Remittance - ANSI Version 5010A1 (120KB, 12/11)
- 837 Institutional - ANSI Version 5010A2 (188KB, 12/11)
- 837 Professional - ANSI Version 5010A1 (190KB, 12/11)
- 837 Dental - ANSI Version 5010A2 (168KB, 12/11)
- 837P COB – ANSI Version 5010A1 (250KB, 1/12)
- 837I COB – ANSI Version 5010A2 (270KB, 01/12)
- 837D COB – ANSI Version 5010A2 (227KB, 01/12)
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| HIPAA-AS 4010 Wellmark Companion Guides |
| Section 1 |
General information on how to get started – ANSI Version 4010A1 (180KB, 2/10) |
| Section 2 |
270-271 Eligibility and Benefits – ANSI Version 4010A1 (126KB, 9/08)
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Real Time Eligibility Guide – ANSI Version 4010A1 (100KB, 9/10) |
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276-277 Claim Status – ANSI Version 4010A1 (231KB, 9/08) |
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278 Request for Review – ANSI Version 4010A1 (108KB, 10/06) |
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820 Premium Payment – ANSI Version 4010A1 (30KB, 6/05) |
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834 Enrollment and Maintenance – ANSI Version 4010A1 (273KB, 4/09) |
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835 Electronic Remittance – ANSI Version 4010A1 (58KB, 6/10)
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837 COB – ANSI Version 4010A1 (123KB, 2/10) |
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837 Institutional – ANSI Version 4010A1 (157KB, 9/09)
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837 Professional – ANSI Version 4010A1 (127KB, 9/09) |
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837 Dental – ANSI Version 4010A1 (105KB, 9/09) |
| Appendix |
Supplemental information on electronic transactions for Wellmark – ANSI Version 4010A1 (96KB, 9/08) |
