Claim Professional/Institutional/Dental (837)


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.