KY MMIS 834 Companion Guide - Kymmis.com

Commonwealth of Kentucky – MMISKY MMIS 834 Companion GuideTable of ContentsKY MMIS 834 Companion Guide Benefit Enrollment and Maintenance (ASC X12N 834) ................................ 1Companion Guide ........................................................................................................................................................ 11 Introduction ......................................................................................................................................................... 11.1 Purpose ....................................................................................................................................................... 11.2 Special Considerations for 834 Transaction ............................................................................................ 21.2.1 Subscriber, Insured = Member in the Kentucky Medicaid Eligibility Verification System . 21.2.2 The following changes to a member will result in an 834 record being generated to thereceiver on a Daily or Recon 834 file: ...................................................................................................... 21.2.3 File Naming Standards ................................................................................................................ 22 Control Segment Definitions For Kentucky Medicaid .................................................................................... 42.1 ISA - Interchange Control Header Segment ........................................................................................... 42.2 IEA - Interchange Control Trailer ........................................................................................................... 52.3 GS – Functional Group Header ................................................................................................................ 52.4 GE – Functional Group Trailer ................................................................................................................ 62.5 ST – Transaction Set Header .................................................................................................................... 72.6 SE – Transaction Set Trailer .................................................................................................................... 82.7 Valid Delimiter s for Kentucky Medicaid EDI ......................................................................................... 83 Companion Guide For The 834 Transaction .................................................................................................... 94 HD04 Data Element Layout ............................................................................................................................. 22DMS Approved 12/02/2011Page i