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CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES 5010 834 COMPANION GUIDE California Department of Health Care Services 5010 834 Transaction Benefit Enrollment and Maintenance Standard Companion Guide.

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How to fill out the Dhcs 834 Companion Guide online

The Dhcs 834 Companion Guide provides essential instructions for the electronic transmission of benefit enrollment and maintenance information. This guide aims to assist users in filling out the form accurately and efficiently, ensuring compliance with necessary standards.

Follow the steps to complete the Dhcs 834 Companion Guide.

  1. Press the ‘Get Form’ button to initiate the process and access the Dhcs 834 form in an editable format.
  2. Review the introductory section to understand the purpose and structure of the Dhcs 834 Companion Guide. Familiarize yourself with the necessary information required for completion.
  3. Fill in the header information, including the sender and receiver details, ensuring accuracy based on your specific transaction circumstances.
  4. Complete the enrollment and maintenance sections by providing data regarding the individual’s enrollment status and eligibility, following the guidelines provided in the document.
  5. Ensure compliance with the outlined data element specifications, referring to the instruction tables for clarification on relevant codes and segments.
  6. After filling in all necessary fields, review the entire form to verify all data entries for accuracy and completeness.
  7. Upon confirmation of the completed form, save your changes. You can then download, print, or share the document as needed.

Start completing your Dhcs 834 Companion Guide online to manage your benefit enrollment effectively.

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This X12 Transaction Set contains the format and establishes the data contents of the Benefit Enrollment and Maintenance Transaction Set (834) for use within the context of an Electronic Data Interchange (EDI) environment.

The EDI 834 transaction set represents a Benefit Enrollment and Maintenance document. It is used by employers, as well as unions, government agencies or insurance agencies, to enroll members in a healthcare benefit plan.

An 834 file contains a string of data elements, with each representing a fact, such as a subscriber's name, hire date, etc. The entire string is called a transaction set. The 834 is used to transfer enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer.

The 834 file includes demographic information on the employee, including the plan subscriber's name, plan network information, eligibility and benefit information. For third-party administrators, an EDI 834 file is commonly used to add, remove or update member's enrollment information.

The EDI 834 transaction is an electronic Benefit Enrollment and Maintenance (also known as ANSI X12 EDI 834). An EDI 834 Benefit Enrollment and Maintenance is used by by employers, insurance agencies, goverment agencies or healthcare companies to enroll members in a healthcare benefit plan.

The X12 834 EDI Enrollment Implementation Format is a standard file format in the United States for electronically exchanging health plan enrollment data between employers and health insurance carriers.

The EDI 834 file is organized into segments and data elements, where data elements contain a data field while the segment contains one data element. Within a data element – you will find the date of transaction, type of insurance plan, premium amount, as well as coverage details.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232