Health & We
lfare and Pension Funds
of Philadelphia and Vicinity

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Provider Companion Guide

The claims processing system utilized by the Teamsters Health & Welfare Fund of Philadelphia and Vicinity is the HealthPac® system licensed by the Fund from Eldorado Computing, Inc. of Phoenix, Arizona.  The HealthPac® system’s formats and requirements for sending and receiving the various types of HIPAA transactions are set forth below in the listed Adobe Acrobat (PDF) files.

HIPAA Transaction Companion Guides

bulletTransaction Header Envelope
bulletPlan eligibility (270/271)
bulletClaim Status Request and Response (276/277)
bulletPlan premium payments (820)
bulletPlan enrollment  (834)
bulletRemittance Advice (835)
bulletClaim - Institutional (837-I)
bulletClaim - Professional (837-P)
bulletClaim - Dental (837-D)

 

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 Last Date Updated :  05/10/12