This page contains Indiana Health Coverage Programs (IHCP) Companion Guides for Health Insurance Portability and Accountability Act (HIPAA) version 5010 electronic transactions. The guides contain structure and specifications for transactions exchanged directly with Gainwell Technologies (fiscal agent for the IHCP). Providers and vendors developing software for electronic data interchange (EDI) may need to view multiple guides.
The IHCP Companion Guides are updated as needed. See the Change Summary section within each guide for a history of updates. When a system modification is forthcoming, significant changes are described in advance in the Upcoming Changes for IHCP Companion Guides section of this page.
The IHCP Companion Guides are intended only to supplement the adopted National Electronic Data Interchange Transaction Set Implementation Guides (commonly called Implementation Guides), which are available for purchase and download through the Washington Publishing Company website. The IHCP Companion Guides are never intended to modify, contradict, or reinterpret the rules established by the Implementation Guides.
IHCP Companion Guides
Note: The IHCP Companion Guide for electronic pharmacy claim transactions, National Council for Prescription Drug Programs (NCPDP) D.0 Transaction Payer Sheet, is available from the Optum Rx Indiana Medicaid website.
When system modifications are planned, advance notification is given to allow vendors time to make appropriate changes to their software and perform testing, if needed. The following documents describe upcoming changes to applicable IHCP Companion Guides. Please review these documents and make necessary modifications to your system before the implementation date.
|No upcoming changes at this time|