ASC X12 v5010 Medicare Fee-For-Service Standard Companion Guides

Published 05/29/2024

Medicare Fee-For-Service Standard Companion Guides include information on transactions based on ASC X12 Implementation Guides, version 005010. These documents includes specific information on submitting v5010 Medicare files electronically to Palmetto GBA.

To view these documents, select the PDF link below:

ANSI 276 / 277 Companion Guide

ANSI 835 Companion Guide

ANSI 837I Companion Guide

ANSI 837P Companion Guide

ANSI 837D Companion Guide - Dental claims only


Was this article helpful?

Palmetto GBA Web Chat

Sounds: OnSave Transcript
Please answer the questions below. Additional fields may appear based on previous answers. Fields with a red asterisk (*) are required.
Your InformationClear
1()-x
Inquiry InformationClear
Select your stateClear
Select your stateClear
Provider InformationClear
Patient InformationClear
Patient Name must exactly match the information submitted on the claim, including suffix if applicable.
//
Appeal InformationClear
//
//
Claim InformationClear
//
//
Denial InformationClear
//
//
Rejection InformationClear
DDE InformationClear
Restore InformationClear
//
Prior Authorization InformationClear
//
//
Application InformationClear
Product InformationClear
OtherClear
Additional InformationClear

Are you sure you want to end your chat?

Keep ChattingClose ChatSave Transcript & Close

Webchat

Our dedicated webchat representatives are online to assist you with your general inquiries, provider enrollment, EDI, eServices and more in real-time.