HIPAA 5010 COB Claims
Since July 1, 2012, the CMS has been in full production with all Coordination of Benefits Agreement (COBA) trading partners in the ANSI ASC X12 837 version 5010A2 837 institutional claim format and the 837 version 5010A1 837 professional claim format.
COBA trading partners that have questions concerning the elements that will appear in outbound HIPAA 837 version 5010A1 and 5010A2 crossover claim formats should consult the COBA Companion Guide provided in the Downloads section below.
National Council for Prescription Drug Programs (NCPDP) Batch Version D.0
Since July 1, 2012, CMS has been in full production with all COBA trading partners on the NCPDP Version D.0 Batch Standard 1.2 claims format. COBA trading partners having questions regarding the elements that will appear in the outbound NCPDP Version D.0 Batch 1.2 crossover claim format should consult the NCPDP Batch Version D.0 for COB Claims Companion Guide provided in the Downloads section below.
Downloads
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Coordination of Benefits Agreement (COBA) Companion Guide for National Council for Prescription Drug Programs (NCPDP) Batch Version D.0 COB/Crossover Claims – July 2022 (PDF) -
Coordination of Benefits Agreement (COBA) Companion Guide for Health Insurance Portability and Accountability Act (HIPAA) 837 Institutional and Professional Medicare Coordination of Benefits – July 2022 (PDF) -
February 3, 2012-COBC General HIPAA 5010 Issues Log.pdf (PDF) -
February 3, 2012-COBC Agree-Closed HIPAA 5010 Issues Log.pdf (PDF) -
February 3, 2012-COBC Disagree-Closed HIPAA 5010 Issues Log.pdf (PDF) -
COBA Test Sign Off Acceptance Form (PDF) -
May 2010 - COBA Technical Readiness Assessment (PDF 119KB) (PDF)