EDI Companion Guides
The Health Insurance Portability and Accountability Act (HIPAA) requires that Medicaid and all other health insurance payers in the United States, comply with the EDI standards for health care as established by the Secretary of Health Services. The ANSI X12N implementation guides have been established as the standards of compliance for claim transactions.
This page provides access to information intended to serve only as a companion guide to the HIPAA ANSI X12N implementation guides. The use of this guide is solely for the purpose of clarification. The information describes specific requirements to be used for processing data. This companion guide supplements but does not contradict any requirements in the X12N implementation guide.
The Department of Health and Human Services provides information on the Final Rule for Standards for Electronic Transactions and additional HIPAA Guidance Materials. The National Institute of Standards and Technology provides additional information on Implementing the HIPAA Security Rule: A Cybersecurity Resource Guide.
The information in these guides is subject to change. Please check this site periodically to obtain the most current information available from Florida Medicaid. If you have any questions regarding these Companion Guides, please contact EDI Services.
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