Companion Documents

ANSI X12N Implementation Guides for 5010

• Washington Publishing Company (external site).

Florida Blue Companion Documents

• ANSI 270/271 - Health Care Eligibility Benefit Inquiry and Response (PDF)
• ANSI 276/277 - Health Care Claim Status Request and Response (PDF)
• ANSI - 278 - Health Care Services Review - Request for Review and Response (PDF)
• ANSI 835  - Health Care Payment/Advice (PDF)
• ANSI 837D - Health Care Claim Dental (PDF)
• ANSI 837I- Institutional Health Care Claim (PDF)
• ANSI 837P - Professional Health Care Claim (PDF)

Florida Blue Medicare Companion Documents

• ANSI 270/271 - Health Care Eligibility Benefit Inquiry and Response (PDF)
• ANSI 276/277 - Health Care Claim Status Request and Response (PDF)
• ANSI - 278 - Health Care Services Review - Request for Review and Response (PDF)
• ANSI 835  - Health Care Payment/Advice (PDF)
• ANSI 837I- Institutional Health Care Claim (PDF)
• ANSI 837P - Professional Health Care Claim (PDF)

Note: This information is being provided for reference and convenience only, and is not intended to grant rights or impose obligations. The information is only intended as a general summary. It is not intended to take the place of laws, regulations, contracts, or other applicable provisions. You are encouraged to review specific laws, regulations, contracts and other materials as applicable.