HIPAA: Electronic Transaction Capability Status

The following shows the current status of PacificSource's electronic transaction capabilities with respect to HIPAA.


Transaction Set Description Version Status
837P Professional claim 005010X222A1 in production
837I Institutional claim 005010X223A2 in production
837D Dental claim 005010X220A1 in production
834 Group enrollment 005010X220 in production
834 - Exchange Group enrollment - Exchange 005010X306 in production
835 ERA (outbound) 005010X221 in production
270/271 Healthcare eligibility inquiry and response 005010X279 in production
276/277 Healthcare claim status request and response 005010X212 in production
277/275 Healthcare claim request for additional information and response 005010X275 in development
278 Healthcare services request for review and response 005010X217 in development
820 Group premium 005010X306 in development


You're also welcome to download the following document:

Electronic Payment Enrollment Form

For more information about our electronic transaction capabilities, please contact edisupport@pacificsource.com.

InTouch for Members

Last updated 2/22/2019