Professional claim
Transaction: 837P
Description: 005010X222A1
Status: In production
Institutional claim
Transaction: 837I
Description: 005010X223A2
Status: In production
Dental claim
Transaction: 837D
Description: 005010X220A1
Status: In production
Group enrollment
Transaction: 834
Description: 005010X220
Status: In production
Group enrollment - Exchange
Transaction: 834 - Exchange
Description: 005010X306
Status: In production
ERA (outbound)
Transaction: 835
Description: 005010X221
Status: In production
Healthcare eligibility inquiry
and response
Transaction: 270/271
Description: 005010X279
Status: In production
Healthcare claim status request
and response
Transaction: 276-277
Description: 005010X212
Status: In production
Healthcare claim request for additional information and response
Transaction: 277/275
Description: 005010X275
Status: In development
Healthcare services request
for review and response
Transaction: 278
Description: 005010X217
Status: In development
Group premium
Transaction: 820
Description: 005010X306
Status: In development
Need to enroll in our electronic payment system?
Download our Electronic Remittance Advice (835) and EFT Authorization form
For questions about electronic transactions, please contact ERAEnrollment@PacificSource.com