Electronic Submissions

Testing and Certification

Electronic File Layouts

Companion Guides/Data Clarification Documents

Presentations

Health Plans Approved for 837 Encounter Reporting

Encounter Data Mailbox

Electronic Submissions

• Billing Agent Authorization
• Electronic Submissions Manual - October 4, 2002
• Electronic Submissions Manual - December 20, 2001

Testing and Certification

• Test Instructions for the 837 v4010A1 Encounter
• Test Instructions for the NCPDP Encounter
• NCPDP Encounter Data Sample
• De-identified 837 v4010A1 Professional Encounter Data Sample
• De-identified 837 v4010A1 Institutional Encounter Data Sample   

Electronic File Layouts

• 837 Error File Layout (4950)
• NCPDP Error File Layout (5066)
• QI Reporting File Layout (5218)
• QI Error Return File Layout (4956)
• QI Error Listing for FY06 Submissions Forward
• 837 Encounter Error Listing
• NCPDP Error Listing

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Companion Guides/Data Clarification Documents   

• NCPDP Companion Guide and Requirements for Medicaid Health Plans, County Health Plans and MIChild Health Plans
• 837 I v 4010A1 Medicaid Health Plans, County Health Plans and MIChild Health Plans
• 837 P v 4010A1 Medicaid Health Plans, County Health Plans and MIChild Health Plans
• 837 D v 4010A1 Dental Health Plans
• Mental Health HCPCS and Revenue codes
• Substance Abuse HCPCS and Revenue codes
• Supplemental Instructions for 837 Encounter Reporting for Substance Abuse (CAs)
• Supplemenal Instructions for 837 Encounter And Quality Improvement (QI) for Mental Health PIHPs
• 837 v4010A1 Institutional Encounter for Mental Health PIHPs and CMHSPs
• 837 v4010A1 Professional Encounter for Mental Health PIHPs and CMHSPs
• 837 v4010A1 Dental Encounter for Mental Health PIHPs and CMHSPs
• NPI Reporting Guidelines for 837 Encounter Transactions
• NPI Reporting Guidelines for NCPDP Encounter Transactions

Presentations

• 837 v4010A1 Encounter MDCH Reporting Requirements
• 837 v4010A1 Guidelines for Submitting Encounter Data Files/Useful Resources
• 837 v4010A1 Encounter Business-to-Business Testing  
• 837 v4010A1 Encounter Requirements for Reporting Financial Data
• 837 v4010A1 Encounter Adult Benefit Waiver and MiChild Enrollees Other Payer Information
• 837 v4010A1 Encounter Resubmissions/Replacement
• 837 v4010A1 Encounter 997 Functional Acknowledgement & Error Report File  
• NCPDP Guidelines for Submitting Encounter Data Files/Useful Resources  
• NCPDP Business-to-Business Testing
• NCPDP Requirements for Reporting Financial Data  
• NCPDP Adult Benefit Waiver and MiChild Enrollees Other Payer Information
• NCPDP Resubmissions/Replacement (Rebills/Reversals)
• NCPDP Response and Error Report File
• CMH & Substance Abuse CA 837 Encounter Reporting and QI Data Processing

  Health Plans Approved for 837 Encounter Reporting

• Community Mental Health Service Programs (CMHSPs)
• Mental Health (PIHPs)  
• Substance Abuse and Coordinating Agencies

Encounter Data Mailbox

• Encounter Testing - MDCHEncounterTesting@michigan.gov
• Medicaid Health Plans - MDCHEncounterData@michigan.gov
• County Health Plans - MDCHCountyPlans@michigan.gov