EDI Forms & Guides Archive

Below is an archive of 4010 guides and samples. Please note IBC currently conducts EDI business using the HIPAA 5010 standards. 4010 transaction submissions are no longer in compliance.

Claims Preprocessing Edits Claims Resolution

4010

HIPAA Transaction Companion Guides*

4010

Trading Partner Specification

4010

Sample Transactions (file formats & data elements)

4010

For more information or assistance, please contact the EDI team or call the EDI Business Help Desk at 215-241-2305.