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Welcome
to the Department of Health and Mental Hygiene (DHMH)’s site for
providers and trading partners who wish to exchange HIPAA-compliant
claim information with DHMH. The following DHMH Programs
are supported:
Breast and Cervical
Cancer Diagnosis and Treatment (BCCDT)
Kidney Disease Program (KDP)
The
use of the portal assumes the provider is familiar with HIPAA requirements
in general, and the HIPAA X12 requirements in particular. The ANSI
ASC X12N Implementation Guides can be accessed at http://www.wpc-edi.com/Insurance_40.asp.
Companion Guides with Program-specific X12 specifications are available
for BCCDT and KDP.
The
DHMH eClaims portal supports the following transactions:
| X12N
ID |
Version
Signature |
Description |
| 837P |
004010X098A1 |
Professional
Health Care Claim |
| 837D |
004010X097A1 |
Dental
Health Care Claim |
| 837I |
004010X096A1 |
Institutional
Health Care Claim |
| 835 |
004010X091A1 |
Health
Care Claim Payment / Remittance Advice |
| 276 |
004010X093A1 |
Health
Care Claim Status Request |
You
must be a provider or trading partner participating in one of the
DHMH Programs listed above (BCCDT, KDP) to use the eClaims
Portal. If you are not currently an authorized provider and wish
to become one, please follow the information given in the Quick
Start Portal Guide for BCCDT or KDP.
If
you are an authorized provider and have a signed User Agreement
form approved by DHMH you can use your User ID and Password to access
the Portal.
If
you are already an authorized provider but do not yet have an account
to use the Portal then you will need to complete User Agreement
forms (one for each person who will use the Portal). Follow the
steps given in the Quick Start Portal Guide for BCCDT or KDP.
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