Clearinghouse Services

Companion Guides and Business Rules

BCBSLA Companion Guides
Institutional Companion Guide [PDF]
This guide was developed to be used in conjunction with ASC X12N 837 Institutional (004010X096A1) Implementation Guide.

Professional Companion Guide [PDF]
This guide was developed to be used in conjunction with ASC X12N 837 Professional (004010X098A1) Implementation Guide.

Dental Companion Guide [PDF]
This guide was developed to be used in conjunction with ASC X12N 837 Dental (004010X097A1) Implementation Guide.

Eligibility Companion Guide [PDF]
This guide was developed by BCBSLA to be used in conjunction with ASC X12N 270/271 Eligibility Benefit and Response (004010X092) Implementation Guide.

NOTE: No BCBSLA guide is required for Health Care Payment Advice 835. Please refer directly to the ASC X12N 835 (004010X091A1) Implementation Guide for information.

BCBSLA Business Rules
Institutional UB92 Claim Business Rules [PDF]
This document was designed for technical and office staff to develop validation edits and to assist in the submission and/or correction of BCBSLA Institutional claims.

Professional 837P/1500 Business Rules Guide [PDF]
This document was designed to provide technical staff with the criteria needed to develop validation edits for BCBSLA Professional claims.

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