DC Medicaid 837I Fee-for-Service Claims Companion Guide

This document is a Companion Guide that outlines the specifications for the DC Medicaid 837I Fee-for-Service (FFS) Claims transactions. It clarifies the data content requirements for electronic exchanges with Gainwell Technologies, ensuring compliance with the Accredited Standards Committee (ASC) X12N Implementation Guides and the Health Insurance Portability and Accountability Act (HIPAA). The guide details the necessary situational and required data elements for processing claims under programs administered by DC Medicaid. It emphasizes that the document does not provide complete EDI transaction format specifications but rather focuses on specific data elements relevant to the 837 Healthcare Claim Institutional format. Additionally, the guide includes information on trading partner registration, certification testing, and the application of Strategic National Implementation Process (SNIP) Levels for error identification in file submissions. It serves as a resource for both new and existing trading partners to navigate the requirements for electronic claims submissions.