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Health Care Documentation and Reference

HIPAA 4010 Products

HIPAA > 4010

004010A1 X12N guides and EDI schemas for use under the current HIPAA mandate.

Icon Implementation Guides

Icon XML Schemas


HIPAA 5010 Products

HIPAA > 5010

EDI transaction sets to replace 4010 for HIPAA compliance, effective January 1, 2012.

Icon Consolidated Guides

Icon Original Guides

Icon Change Description Guides

Icon Table Data

Icon XML Schemas


Viewable Code lists

Code Lists

Code lists are viewable on-line at no cost.

Code lists are also available as electronic files, printed lists or email alerts:

Icon Code Lists

Software: EDI Tools

National Council for Prescription Drug Programs (NCPDP)

> Pharmacy Accelerator –
Telecommunication D.0
> Pharmacy Accelerator –
SCRIPT 10.6
> Database Toolkit – Post Adjudication History
> Telecommunication D.0 XSD Schemas
> SCRIPT 10.6 XSD Schemas
> Post Adjudication History XSD Schema

Accredited Standards Committee X12
(ASC X12)

> FirstPass®
> HIPAA Database Toolkit
> 834 Enrollment Viewer
> Data Definition Language (DDL) Scripts