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Medical eBilling

Property & Casualty Claims - EDI Transactions

EDI Transactions

Claim Professional/Institutional/Dental (837)

Submitting the Property & Casualty Claim Number in an Electronic Health Care Claim Transaction

Mandated States - Minnesota

State Farm® Property and Casualty will process the following electronic health care claim transactions that must be exchanged as per the state of Minnesota mandate, and as defined by the companion guide based on the bill type.

Uniform Companion Guide for the Health Care Claim Professional - ASC X12N 837 (005010X222A1)
Uniform Companion Guide for the Health Care Claim Institutional - ASC X12N 837 (005010X223A2)
Uniform Companion Guide for the Health Care Claim Dental - ASC X12 837 (005010X224A2)
Uniform Companion Guide for Pharmacy Claim Submission and Response- NCPDP (D.O)
Uniform Companion Guide for Pharmacy Claim Reversal Submission and Response- NCPDP (D.O)

Non-Mandated States

State Farm® Property and Casualty voluntarily processes electronic health care claim transactions for all other non-mandated states. The following electronic bill transactions are processed.

Health Care Claim Professional - ASC X12N 837 (005010X222A1)
Health Care Claim Institutional - ASC X12N 837 (005010X223A2)
Health Care Claim Dental - ASC X12N 837 (005010X224A2)
NCPDP Telecommunication Standard D.0
NCPDP Telecommunication D.0 paid response transaction
NCPDP Batch Standard 1.2

Sending Electronic Health Care Claim Transactions

State Farm® Property and Casualty uses a connection with UHIN to exchange electronic health care claim transactions.

Providers and Electronic Data Exchange (EDI) clearinghouses can contact UHIN for information on how to create the connection. If you are already exchanging electronic health care claim transactions with another clearinghouse, they should be able to get your electronic health care claim transactions routed to State Farm® by way of UHIN.

UHIN contact information, click here

Sending Electronic Retail Pharmacy Claim Transactions

For pharmacy submissions using the NCPDP Telecommunication Standard D.0 or Batch Standard 1.2 to send your electronic claim transactions, there are two routing paths.

If you have not established a relationship with a Pharmacy Benefit Manager (PBM) that will route to State Farm, then you can utilize Issuer Identification Number (IIN) also known as Bank Identification Number (BIN) 502805.

If you have established a relationship with a Pharmacy Benefit Manager (PBM) that will route to State Farm, then you can utilize the (IIN)/(BIN) for that entity.

Health Care Claim Payment/Advice (835)

Mandated States - Minnesota

State Farm® Property and Casualty will create the following electronic health care payment remittance transaction that must be exchanged as per the state of Minnesota mandate and the companion guide rules.

Uniform Standard Companion Guide for Health Care Payment Remittance Advice Electronic Transaction ASC X12N 835 (005010X221A1)

Non-Mandated States

State Farm® Property and Casualty does not currently create electronic health care payment remittances for non-mandated states.

Receiving Electronic Health Care Payment/Advice Transactions

State Farm® Property and Casualty uses a connection with UHIN to make the electronic health care payment remittance transactions available for retrieval.

Providers and Electronic Data Exchange (EDI) clearinghouses can contact UHIN for information on how to retrieve the electronic payment remittance transactions.

UHIN contact information, click here

For State Farm® Property and Casualty, there is no enrollment process necessary to receive electronic payment remittances.

For additional information on payment remittances, please see the Payment Remittance Overview page.

Health Care Implementation Acknowledgment (999)/
Health Care Claim Acknowledgment (277)

Mandated States - Minnesota

State Farm® Property and Casualty will create the following electronic acknowledgment transactions that must be exchanged as per the state of Minnesota mandate.

Uniform Standard Companion Guide for Implementation Acknowledgment for Health Care Insurance – ASC X12N 999 (5010X0231A1)

Uniform Standard Companion Guide for Health Care Claim Acknowledgment ASC X12N 277 (005010X214)

Non-Mandated States

State Farm® Property and Casualty voluntarily creates electronic acknowledgments for all non-mandated states. The following electronic acknowledgment transactions are created.

Implementation Acknowledgment for Health Care Insurance – ASC X12N 999 (5010X0231A1) Health Care Claim Acknowledgment - ASC X12N 277 (005010X214)

Receiving Electronic Implementation and Claim Acknowledgments

State Farm® Property and Casualty uses a connection with the UHIN to make the electronic acknowledgment transactions available for retrieval.

Providers and Electronic Data Exchange (EDI) clearinghouses can contact UHIN for information on how to retrieve the electronic acknowledgments. If you are currently sending electronic medical bills to State Farm, then your acknowledgments are being made available for retrieval through UHIN.

UHIN contact information, click here

If you have received your acknowledgments and have a question regarding the rejection reason received in one of them then you can send an email to our Electronic P&C Electronic Billing Support Team, edisupport@statefarm.com. If you have not received your acknowledgments and your clearinghouse has told you State Farm® has not made the acknowledgments available for the bills you have sent, then you can send an email to our Electronic P&C Electronic Billing Support Team, edisupport@statefarm.com.

Additional Information to Support a Health Care
Claim or Encounter (275)

State Farm® Property and Casualty can receive supporting documents electronically using the Additional Information to Support a Health Care Claim or Encounter Support - ASC X12N 275(005010X210) transaction.

Sending Electronic Claim Attachments Transactions

State Farm® Property and Casualty uses a connection with UHIN to receive electronic claim attachment transactions. State Farm® Property and Casualty only accepts electronic claim attachment transactions that contain the binary data in PDF, TIF, or JPEG formats.

Please refer to our 275 companion guide, for the additional requirements on sending State Farm® Property and Casualty electronic claim attachment transactions, "SF 275 Companion Guide".

Providers and Electronic Data Exchange (EDI) clearinghouses can contact UHIN for information on how to send electronic claim attachment transactions. If you are currently sending electronic medical bills to State Farm, then the connection to sending electronic claim attachments is the same.

UHIN contact information, click here