EDI Companion Guide

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Following the instructions in both guides will help ensure effective and efficient processing of your transactions.Download now: 837P – Professional Claims"/> <input type="hidden" id="imageURL"/> <input type="hidden" id="pageType"/> <input type="hidden" id="productType"/> <input type="hidden" id="productName"/> <script> document.addEventListener("DOMContentLoaded", function(){ var message = $(".o5-detail-hero-banner__textAlignContainer span.o5-text__body-1").text(); if(message == ""){ message = $(".o5-detail-hero-banner__textAlignContainer span.o5-text__body-1-opt").text(); } if(message == ""){ message = $(".o5-homepage-hero__container span.o5-text__display-1").text(); } var headLineVal = $('#headLine').val(); if(headLineVal == "" && $(".o5-detail-hero-banner__main-heading_1").text().length > 0){ headLineVal = $(".o5-detail-hero-banner__main-heading_1").text(); } else if(headLineVal == "" && $(".o5-homepage-hero__bodycopy span.o5-text__display-1").text().length > 0){ headLineVal = $(".o5-homepage-hero__bodycopy span.o5-text__display-1").text(); } var pagetitlevalue = document.title; window.adobeDataLayer = window.adobeDataLayer || []; var pagelanguage = ""; if($('#pageLanguage').val() == "en"){ pagelanguage = "english"; } else if($('#pageLanguage').val() == "es") { pagelanguage = "spanish"; } var origin = window.location.origin; var hostName = window.location.hostname; var allowedHosts = ['business.optum.com']; var href = window.location.href; var businessSite=false; if(hostName.includes(allowedHosts)){ businessSite = true; } var targetWebsite = window.location.origin.split('.')[1]; var thumbnailUrl= origin + $('#imageURL').val(); if($('#imageURL').val() == ""){ thumbnailUrl =""; } var referrer = window.location.referrer; var portalName = ""; if(referrer != null && referrer != "") { if(referrer.indexOf("myuhc") > 0 || referrer.indexOf("laww") >0 || referrer.indexOf("optum") >0 || referrer.indexOf("uhg") >0 || referrer.indexOf("uhc") >0 || referrer.indexOf("everettclinic") > 0 || referrer.indexOf("polyclinic") > 0 || referrer.indexOf("care") > 0 || referrer.indexOf("bank") > 0) { portalName = referrer.replaceAll("http(s)?://|www\\.|/.*", ""); } } var viewName = $('#pageTitle').val(); if((window.location.pathname == "/")){ viewName = document.title; } if (window.location.hostname.includes('optumrx')) { adobeDataLayer.push({ event: 'viewStart', target: { targetBusinessUnit: 'optum', count: 'true', targetLanguage: $('#pageLanguage').val(), viewName: viewName, targetPageName: viewName, targetWebsite: targetWebsite } }); } if(href.indexOf("/forms/medicare-prescription-payment-plan") == -1 && href.indexOf("/forms/medicare-prescription-payment-plan/sample-payment-calculation") == -1) { adobeDataLayer.push( { event: 'page track', page: { experienceType: ( /Android|webOS|iPhone|iPad|iPod|BlackBerry|IEMobile|Opera Mini/i.test(navigator.userAgent) ) ? 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class="o5-detail-hero-banner__bodyCopy-generic dmp-type__body-1"><p><span class="o5-text__body-1">The following HIPAA Companion Guides describe Optum Rx specific technical details for EDI transactions.</span></p> <p><span class="o5-text__body-1"><b>Please note:</b> These guides should be used along with the ASC X12 implementation guides; they don’t replace or modify them. Following the instructions in both guides will help ensure effective and efficient processing of your transactions.</span></p> <p><a href="/content/dam/o4-dam/resources/pdfs/forms/EDI-837-Companion-Guide-for-OptumRx-Professional-Claim.pdf" class="dmp-link-std">Download now: 837P – Professional Claims</a></p> </div> <div class="o5-detail-hero-banner__button"> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </main> <div class="o5-Back-to-Top aem-GridColumn aem-GridColumn--default--12"><div id="o5-Back-to-Top" class="o5-Back-to-Top" data-optum-cmp="o5-Back-to-Top" qa-handles="o5-Back-to-Top"> <div class="o5back-top fixed hidden" id="back-top-fixed"> <a href="#main-content" class="back-to-top back-top-fixed" qa-handles="back-top-fixed"> <span class="material-symbols-rounded back-top__arrow" aria-hidden="true">keyboard_arrow_up</span> <span class="assistText-new">back to top</span> </a> </div> <div class="o5back-top static" 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EDI Companion Guide | Optum Rx