• DMA HOME

• ABOUT DMA
• CONTACT DMA

 

EOB Crosswalks to HIPAA Standard Codes

The free Adobe Acrobat Reader is required to view and print the PDF files.

The list of standard national codes used on the Electronic Remittance Advice (ERA) has been cross-walked to Medicaid EOB codes as an informational aid to research adjudicated claims listed on the Remittance and Status Report (RA). The EOB codes are divided into separate crosswalks based on claim types.  The EOB Code Crosswalk is compatible with both ASC X12 4010A1 and 5010 835 transactions.

EOB Code Crosswalk to HIPAA Standard Codes (revised April 30, 2013)

• Master List
  • Adobe Acrobat Version (4.9MB)
  • Excel Version (2.6MB)
• Dental Claims
  • Adobe Acrobat Version (699KB)
  • Excel Version (2.6MB)
• Drug Claims
  • Adobe Acrobat Version (762KB)
  • Excel Version (2.6MB)
• Institutional Claims
  • Adobe Acrobat Version (1.6MB)
  • Excel Version (2.6MB)
• Professional Claims
  • Adobe Acrobat Version (4.4MB)
  • Excel Version (2.6MB)