What is EDI?
Electronic Data Interchange (EDI), is a service for providers to send claims electronically from their Practice Management System to the Alliance. The claims are sent in real-time.
Why Use EDI to Send Claims?
There are many benefits to using EDI for claims transactions:
- Saves your office time and speeds up the payment cycle.
- Reduces costs when compared to paper submissions (printing, collating, mailing, postage, forms, etc.).
- Increases accuracy of claims data submitted; less rework.
- Fast and safe because EDI uses secure File Transfer Protocol (FTP) 24 hours a day, 7 days a week.
- Using EDI ensures your claims are HIPAA compliant.
- Electronic Remittance (ERA) – Electronic payment information can be used to automatically post payments to the patient accounts on your computer. View and print the ERA Enrollment form.
How to Get Started with EDI?
Complete the Alliance EDI Enrollment form and mail, fax or email it to:
EDI Instruction Documents
You or your software vendor can use these documents to correctly configure EDI claims sent to the Alliance. EDI instructions, testing and communications information are included as well as contact information, should any questions come up.
Alliance Standard Companion Guides
- Health Care Professional Claims (837P) – Updated September 2019
- Medi-Cal Health Homes Program (HHP and AC3) 837P Addendum
- Health Care Institutional Claims (837I) – Updated October 2019
- Health Care Claim Payment/Advice (835) – Updated October 2015
- Benefit Enrollment and Maintenance (834) – Updated August 2015
- Health Care Claim Status Request and Response (276/277) – Updated October 2015
- Health Care Eligibility Request and Response (270/271) – Updated October 2015
We are here to help
For any questions, please contact: