The Health Insurance Portability and Accountability Act (HIPAA) requires that Medicaid and all other health insurance
payers in the United States comply with the EDI standards for healthcare as established by the Secretary of Health
Services. The ANSI X12N implementation guides (4010) and Technical Report Type 3-TR3 documents (5010) have been established
as the standards of compliance for claim transactions.
This page provides access to information intended to serve only as a companion guide to the HIPAA ANSI X12N implementation
guide and TR3 documents. The use of this guide is solely for the purpose of clarification. The information describes specific
requirements to be used for processing data. This companion guide supplements, but does not contradict any requirements in
the X12N implementation guide or TR3 document.
Additional information on the Final Rule for Standards for Electronic Transactions can be found at
The HIPAA implementation guides and TR3 documents can be purchased from the Washington Publishing Company Web site at
Additional information related to HIPAA is also available on the Department of Community Health Web site at
The information in these guides is subject to change. Please check this site periodically to obtain the most current
information available from Georgia Medicaid. If you have any questions regarding these companion guides, please contact
EDI Services at (877) 261-8785 (toll-free) or (770) 325-9590 (locally).