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HIPAA - Companion Guides
Michigan Medicaid utilizes the HIPAA compliant ASC X12 Version 5010 format for HIPAA transactions, except those with retail pharmacies. Pharmacy transactions must use the NCPDP standard. This standard applies to claims, payments, and enrollment electronic transactions.
The manuals and guides listed below are designed to assist providers and billing agents in creating and submitting electronic files along with viewing electronic payment and enrollment files. Additional information can be found in the Electronic Submission Manual (ESM).
Additional Resources