Follow this link to the EDI User Group Webpage

EDI Certification Process for the Integrated System
Basic IS Manual for EDI User

Transaction Guides

837I Companion Guide 08-27-2008 V4.1
837P Companion Guide 08-27-2008 V4.2

HIPAA-related code lists for Health Care EDI

Transaction Examples for Local Plan Contract Providers (LPCP)

DMH LPCP 837I (Health Care Claim Institutional)
DMH LPCP 837P 1- Plan no Medi-Cal
DMH LPCP 837P 1- Plan, Medi-Cal
DMH LPCP 837P PlanID 2024 no Medi-Cal
DMH LPCP 837P MediMedi
997 example
277U(bundled) example 20070608
835 positive negative sample

Documents

PlanListIS - v.9 Sept. 2008
LACDMH DSM-VI to HIPAA ICD9 Aug. 2007
SV101 SV103 of Loop 2400 - Prof Svc.
CLM01 formation Sept. 2007
EPSDT & Healthy Family
Group Claims
Void Correction Replacement
Loop 2400 Segment SV104 Service Unit Count

Forms (See Also the IS Forms Page)

DDE/EDI Agreement Form
Trading Partner Agreement
Trading Partner Agent Authorization Agreement
Trading Partner or Agent ~ Digital Certification Request Form

HIPAA EDI Third Party Certification Providers