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Get the free HIPAA 5010 834 HKD Companion Guide - State of Michigan - michigan

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Michigan Department of Community Health HIPAA 5010 EDI Companion Guide for ANSI ASC X12N 834 Benefit Enrollment and Maintenance Healthy Kids Dental (HKD) Version Date November 30, 2011, Effective
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HIPAA 5010 834 is a standard format for electronic transmission of health plan enrollment and maintenance information. It is used by employers, insurance companies, and benefit administrators to exchange data related to enrollment, eligibility, and coverage.
Employers, insurance companies, and benefit administrators are generally required to file HIPAA 5010 834 transactions when transmitting health plan enrollment and maintenance information electronically.
Filling out HIPAA 5010 834 involves populating specific data elements within the transaction, such as member demographics, employment details, coverage details, and enrollment information. This can be done through manual data entry or automated systems that generate the transaction based on the provided information.
The purpose of HIPAA 5010 834 is to facilitate the electronic exchange of health plan enrollment and maintenance information, improving efficiency and accuracy in administrative processes related to insurance coverage and benefits.
HIPAA 5010 834 requires reporting of various data elements, including member identification details, employment information, coverage start and end dates, dependent information, plan types, and other enrollment-related data.
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