Claim Professional/Institutional/Dental (837)


Worker’s Compensation

Minnesota

State Farm® Worker's Compensation 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)


Other Mandated States

State Farm Worker's Compensation will process the following electronic health care claim transactions that must be exchanged per various state mandates.

Health Care Claim Professional - ASC X12N 837 (005010X222A1)
Health Care Claim Institutional - ASC X12N 837 (005010X223A2)
Health Care Claim Dental - ASC X12N 837 (005010X224A2)


Non-Mandated States

State Farm Worker's Compensations voluntarily processes electronic health care claim transactions for all other non-mandated states.  The following electronic health care 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)




Auto

Minnesota

State Farm Auto 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 Auto 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)


Sending Electronic Health Care Claim Transactions

State Farm Auto and State Farm Worker's Compensation use a connection with the Utah Health Information Network (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.


Utah Health Information Network (UHIN)

Contact UHIN at 801-466-7705 ext 200 for connection information.
The State Farm UHIN Trading Partner number is: HT005054-001.