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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 

EOB Crosswalks to HIPAA Standard Codes

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The list of standard national codes used on the Electronic Remittance Advice (ERA) has been cross-walked to Medicaid EOB codes as an informational aid to research adjudicated claims listed on the Remittance and Status Report (RA). The EOB codes are divided into separate crosswalks based on claim types.  The EOB Code Crosswalk is compatible with both ASC X12 4010A1 and 5010 835 transactions.

For ERAs submitted before July 1, 2013
(RAs produced in Legacy MMIS System)

EOB Code Crosswalk to HIPAA Standard Codes (revised April 30, 2013)


For ERAs submitted after July 1, 2013
(RAs produced in NCTracks System)