EDI Companion Guides

The 837 Companion Guide is designed to describe the network-specific business requirements, above and beyond those found in the HIPAA claims stanadards for HealthLink and NCPPO.

 
Companion Guide - 837 (279k)
 

This 27X Companion Guide is to describe requirements for 270, 271, 276, and 277 transactions (to support our web-based provider portal). These transactions are replies by payors to provider queries about eligibility/insurance verification and claims status.

 
Companion Guide - 27X (481k)
 

National Capital Preferred Provider Organization, Inc. ("NCPPO") is a Maryland corporation. HealthLink®, Inc., is an Illinois corporation. Both are organizers of independently contracted provider networks, which are made available by contract to a variety of payors of health benefits, including insurers, third party administrators or employers. Neither has control nor right of control over the professional, medical judgment of contracted providers, nor are they liable for any acts or failures to act, by contracted providers. Neither is an insurance company and neither has liability for benefits under benefit plans offered or administered by payors. HealthLink® is a registered trademark of HealthLink, Inc. Both companies are subsidiaries of WellPoint, Inc.