SPECIFIC TRANSACTION INSTRUCTIONS
transaction and code set requirements are outlined in the
National Electronic Data Interchange Transaction Set Implementation
Guides. Companion guides have been created outlining supplemental
requirements specific to Utah Medicaid, as permitted within
the structure of the HIPAA transaction sets. The guides
will be updated as implementation of each transaction occurs.
The most current version will be available on the website.
All providers who submit claims electronically to Utah Medicaid
must adhere to the HIPAA Implementation Guide, the Utah
Specific Transaction Instructions (Companion Guide), and
policy contained in the provider manuals.
UHINt 2.5 templates have been created to provide training
and instructions on Medicaid specific fields that must
be completed in order to obtain a successful claim transmission.
If utilizing other software, these templates may be a
guideline for required data elements.