​PROMISe Companion Guides

Companion guides are developed to communicate the Pennsylvania Medicaid-specific information required to successfully submit healthcare transactions. They usually contain the department interpretation and application of the data elements and how to convey the data for department transactions. 

Companion guides are to be used in conjunction with the CMS HIPAA Implementation Guide found at the CMS website. The CMS HIPAA Implementation Guide is the main source of information about the transaction sets.

Below are links that will guide you to the companion guides available for use with PROMISe™.

ANSI X12 v5010 and NCPDP vD.0

Companion guides associated with ANSI v5010 healthcare transactions and NCPDP D.0 pharmacy transactions. These versions are valid beginning Jan. 1, 2012. These guides are available for programming and certification activities with the PROMISe™.

HIPAA 5010 Companion Guides are being modified. Updated versions will be posted as available.

* These documents are in Adobe Acrobat pdf format. You must have a copy of Adobe Acrobat Reader.