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CHCN accepts HIPAA-compliant claim files with specifications in accordance to the nationally standard HIPAA Implementation Guides and to our CHCN Companion Guides. The CHCN Companion Guides for the following 4010A1 ANSI X12 formats are:

Standard 837 Specifications

CHCN ANSI x12 837 Companion Guide (PDF)

Electronic Claims are electronically received via a secure file transfer protocol (SFTP) transmission. Electronic claims can be submitted in Health Insurance Portability and Accountability Act (HIPAA) compliant ANSI x12 5010x 837 Professional and Institutional claim formats. The standard 837 specifications can be downloaded from http://www.wpc-edi.com/hipaa/HIPAA_40.asp.

There is a period of testing before production files are produced. CHCN does work with third party clearinghouses. CHCN EDI Department will coordinate the implementation process with your IT department or vendor.

CHCN EDI Department Contact: Mark Delgado
Telephone Number: 510-297-0298
Email Address: mdelgado@chcnetwork.org