When submitting claims electronically there are many manuals and guides that providers and billing agents may use to help them create and view files.  Currently Michigan Medicaid is only allowing the HIPAA compliant 4010A1 version of all electronic files.

IMPLEMENTATION  GUIDES
Implementation Guides are intended to be compliant with the data standards set out by the HIPAA Act of 1996 and its associated rules.  Implementation Guides provide standardized data requirements and content for all users.  The Implementation Guides are posted at the Washington Publishing Company website, http://www.wpc-edi.com/products/publications .

COMPANION GUIDES
Michigan Medicaid has posted Companion Documents which can be used in conjunction with the Implementation Guides.  The Companion Documents are intended to be specific to Michigan Medicaid and provide specific Data Elements that should be reported within specific Loop and Segment details.

• 837 v 4010A1 Dental Companion Guide
• 837 v 4010A1 Institutional Companion Guide
• 837 v 4010A1 Professional Companion Guide  
• 835 v 4010A1 Companion Guide
• 277U v 4010A1 Companion Guide
• 278 v 4010A1Companion Guide
• 276/277 v 4010A1 Companion Guide
• 270/271 v 4010A1 Companion Guide

ADDITIONAL 835 INFORMATION

• 835 Billing Agent Change Request
• MDCH Explanation Code Crosswalk :  Adobe  or Excel
• Reason and Remark Codes

CMH and Substance Abuse CA 837 Encounter Reporting and QI Data Processing Training - March 12, 2003