EDI

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Welcome to Anthem Blue Cross and Blue Shield’s E-Solutions page for the Central Region – Indiana, Kentucky, Ohio, Missouri, and Wisconsin.

Contact Information

E-Solutions

Phone: (800)470-9630

Indiana, Kentucky and Ohio 8:00 - 4:30 ET M-F

Missouri and Wisconsin 8:00 - 4:30 CT M-F

Email: edi.ent.support@anthem.com

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 93% 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.

What are the Payer/Receiver Codes for the Midwest for 1000B NM109 and 2010BB NM109?

	Professional	Institutional	Dental
Indiana	00630	00130	ANTHEMXXDENTAL
Kentucky	00660	00160	ANTHEMXXDENTAL
Missouri	00241	00241	ANTHEMXXDENTAL
Ohio	00834	00332	ANTHEMXXDENTAL
Wisconsin	00950	00450	ANTHEMXXDENTAL

What payer ID code do I use?

If you submit electronic claims/transactions directly to Anthem Blue Cross Blue Shield, please use the applicable code listed above. If you submit through a clearinghouse or use a software vendor, you should check with them for the correct value that should be used. Many clearing agencies use proprietary values therefore we do not assign or maintain payer ID codes for other entities, clearinghouses or vendors.

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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, 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 (excluding 30 counties in the Kansas City area): 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. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use