Anthem Blue Cross Blue Shield Health Insurance

EDI

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Welcome to Anthem Blue Cross and Blue Shield's Electronic Data Interchange (EDI) for: Indiana, Kentucky, Missouri, Ohio and Wisconsin.  

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What is Electronic Data Interchange?
Electronic Data Interchange (EDI) allows providers to submit claims, retrieve remittance advices and retrieve claim file acknowledgements from their computer system via modem and phone lines to the insurance carrier or clearinghouse.  
How many claims do we receive electronically?
Approximately 87% of claims are received electronically.  
Why submit claims electronically?
Electronic claims are not subject to postal delays.
Claims may be transmitted 24 hours a day and seven days a week.
Electronic claims are faster and more accurate.
Electronic claims are acknowledged by Anthem through notification and error reports, which are placed in your electronic mailbox.
Electronic remittance advice is offered to all electronic submitters. This provides a cost savings and allows the provider to post payments automatically.
EDI Solutions is available Monday, Tuesday, Wednesday, Friday 8:00-11:30am, 12:30-5:30pm (EST), and Thursday 8:00-9:00am, 10:00-11:30am, and 12:30-5:30pm (EST).
For support, call EDI Solutions at (800) 470-9630.
 
What are the Payer/Receiver Codes for the Midwest?

  Professional Institutional
Indiana 
00630 
00130 
Kentucky 
00660 
00160 
Missouri 
00241 
00241 
Ohio 
00834 
00332 
Wisconsin 
00950 
00450 
 
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri: RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi") underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare") underwrites or administers the HMO policies; and Compcare and BCBSWi collectively underwrite or administer the POS policies. Independent licensees of the Blue Cross Blue Shield Association. ® ANTHEM is a registered trademark. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Serving residents and businesses in Indiana, Kentucky, Missouri (excluding 30 counties in the Kansas City area), Ohio, Wisconsin, Colorado, Nevada, Connecticut, Maine, New Hampshire and Virginia (excluding the city of Fairfax, the town of Vienna and the area east of State Route 123). Use of the Anthem Web sites constitutes your agreement with our Terms of Use