ACS updated this Website to reflect the latest version of UB92 (v050) and HCFA 1500 (v3.1).
Note: If you need specifications or testing requirements please contact our EDI Business Analyst Staff at (866) 407-2005. (NSF 3.1) HCFA-1500 Format Manual
- The National Standard Format allows submitters the ability to send data to multiple payers in the same format, and it allows payers the capability of data element customization within the standardized format. The Sequence Records and the ACS
Clearinghouse System (CCHS) Requirement Matrix outline only the guidelines for submitting to ACS. Please refer to the National Standard Format Manual available from HCFA for complete details. UB92 Format Manual Version 050 - Century ready format; this manual is intended for billing services, clearinghouses, and vendors who are developing claims submission capabilities to send claims to the
ACS Clearinghouse System. This includes the (CCHS) Requirements Matrix which details the records and fields required by ACS to process UB92 claims.Data Exchange User and Specification Guide - This document provides information for submitters to retrieve Electronic Remittance Advice and Electronic Claim Rejection Report. |
