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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 may assist providers and billing agents in creating and submitting electronic claims and in viewing electronic payment and enrollment files.
Resources
- Washington Publishing Company (WPC): Reason and Remark Codes
- Community Health Automated Medicaid Processing System (CHAMPS)
- Electronic Submissions Manual
- MDHHS Home Page
- Medicare ID Card Project