Electronic Data Interchange Submission Requirements

 

2

Medicaid Related Assistance

Medicaid & Long-Term Care

https://public.govdelivery.com/accounts/NESTATE/subscriber/new?topic_id=NEDHHS_224

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​Requirements for exchanging electronic data with Nebraska Medicaid are below:

EDI submission requirements

• Nebraska Medicaid X12 submission requirements manual using secure file transfer protocol (SFTP)
• Nebraska Medicaid submission and connectivity guide using HTTP/S

Companion Guides (5010) for Nebraska Medicaid requires for ASC X12 health care transactions:

Companion guides 5010

• 837I institutional claims
• 837P professional claims
• 837D dental claims
• 835 remittance advice
• 834 benefit enrollment and maintenance
• 270/271 health care eligibility benefit inquiry and response
• 276 claim status request-277 claim status response
• 277 CA health care claim acknowledgement
• 278 health care services review
• 820 Payroll deducted and other group premium payment for insurance products