ProviderOne Available (update 1/3/12) 
The ProviderOne software update for HIPAA 5010 and NCPDP D.O formats is complete and the system is available to staff and providers.

Changes to the ProviderOne Batch Template Feature (updated 12/21/11)

EDI Testing Available
Providers may submit test transactions to the 5010 test environment at https://www.waproviderone.org/edi. Providers are required to successfully complete EDI testing for each HIPAA EDI transaction they plan to utilize.

HIPAA Updates

Sign up to receive HIPAA updates by joining the ProviderOne-HIPAA ListServ.

For Assistance
If you have questions related to your HIPAA Electronic Data Interchange (EDI) files or responses, please submit a ticket at hipaa-help@hca.wa.gov.  Help us resolve your concerns more quickly by providing the following details:

• Name
• Phone Number
• email address
• your 7 digit domain/ProviderOne ID
• transaction that you are working on
• File Name
• A detailed description of the concern

ProviderOne HIPAA 5010 Companion Guides

• 270/271
• 276/277
• 277 Unsolicited
• 820
• 834
• 835
• 837 Professional
• 837 Institutional
• 837 Dental
• 837 Professional and Institutional Encounters
• Pharmacy Encounters

ProviderOne Trading Partner Agreement (TPA)

Electronic submitters must complete the ProviderOne registration process and obtain a ProviderOne ID before completing the ProviderOne TPA.  Electronic submitters must include their ProviderOne ID on the ProviderOne TPA before sending it in to DSHS.

• Trading Partner Agreement
  
• Assignment Notice

See a and explanations.

See a list of HIPAA-compliant clearinghouses and billing agents.

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For comments or questions: Contact Medicaid.

Join the Medicaid e-mail list for providers. It's free, fast, and informative!

Report suspected Medicaid fraud: 1-800-562-6906 HotTips@HCA.wa.gov

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Page modified: May 2012