Health Care Claim Payment/Advice (835)


Worker’s Compensation

Minnesota

State Farm® Worker's Compensation will create the following electronic health care payment remittance transaction that must be exchanged as per the state of Minnesota mandate.

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


Other Mandated States

State Farm Worker's Compensation will create the following electronic health care payment remittance transaction that must be exchanged as per various state mandates.

Health Care Claim Payment/Advice - ASC X12N 835 (005010X221A1)


Non-Mandated States

State Farm Worker's Compensations voluntarily creates electronic health care payment remittances for all other non-mandated states. The following electronic health care payment remittance transaction is created.

Health Care Claim Payment/Advice - ASC X12N 835 (005010X221A1)




Auto

Minnesota

State Farm Auto will create the following electronic health care payment remittance transaction that must be exchanged as per the state of Minnesota mandate.

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


Non-Mandated States

State Farm Auto does not currently create electronic health care payment remittances for any other state.


Receiving Electronic Health Care Payment/Advice Transactions

State Farm Auto and State Farm Worker's Compensation use a connection with the Utah Health Information Network (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. If you are currently sending electronic medical bills to State Farm and 835s are being created for your state, then your 835s are being made available for retrieval through UHIN.

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


Utah Health Information Network (UHIN)

Contact UHIN at 801-466-7705 ext 200 for receiving electronic payment remittance transactions

The State Farm UHIN Trading Partner number is: HT005054-001.