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Information for Maine

Electronic Data Interchange (EDI)

Anthem has a strategic relationship with Availity to serve as our Electronic Data Interchange (EDI) partner for all electronic data and transactions. Health care professionals, billing services and clearinghouses who are new to the EDI space can register to exchange 27x self-service and 837 claims electronic transactions with Anthem in Availity.

Don't have an Availity account? You can register here.

Who is Availity?

You may know Availity as a web portal or claims clearinghouse, but they are much more. Availity is also an intelligent EDI Gateway for multiple payers, and will be the single EDI connection for Anthem and its affiliates.

Your organization can submit and receive the following transactions through Availity's EDI Gateway:

  • 837 - Instutional Claims
  • 837 - Professional Claims
  • 837 - Dental Claims
  • 835 - Electronic Remittance Advice
  • 276/277 - Claim Status
  • 270/271 - Eligibility Request

Please note: All trading partners must use the Availity EDI Gateway to submit Anthem EDI transactions. The EDI gateway migration does not impact participation status with Anthem or how Anthem adjudicates claims.

Getting Started with Availity

Availity setup is easy! Get directions and information you need to start exchanging direct EDI transmissions on the Availity EDI Gateway.

Questions?

For questions, call Availity Client Services at 1-800-Availity (1-800-282-4548). Availity Client Services is available Monday - Friday 8 a.m. - 7 p.m. ET.

Companion Guide

The companion guide provides supplemental instructions for EDI transmissions specific to Anthem.  All new submitters will use the Availity EDI Gateway for their Anthem EDI transactions.


EDI Resources

  • Payer Codes
  • Electronic Funds Transfer
  • Electronic Remittance Advice
  • HIPAA Resources

Payer Codes

Availity provides a searchable listing of payer codes. Providers can search based on state, payer type, transaction type and submission mode.

Availity Payer List

Electronic Funds Transfer (EFT)

To register or manage account changes for electronic funds transfers, use the secure EnrollHub™, a CAQH enrollment tool.

Go to EnrollHub

Electronic Remittance Advice

All changes or new registrations for the 835 Electronic Remittance Advice now direct to Availity. Existing 835 deliveries are also transitioning to the Availity EDI Gateway.

Choose to suppress (or enable) paper remittance vouchers through our Provider Paper Suppression Form.

HIPAA Resources

Washington Publishing Company
EDI- and HIPAA-related publications and tools

National Council for Prescription Drug Programs
ANSI-accredited organization that creates standards for electronic health care transactions

Central Repository
Pending and completed transaction change requests

National Committee on Vital & Health Statistics
Advisory body to the Secretary of Health and Human Services for health data and privacy

EDI Service Desk

Need help? Contact the EDI Service Desk for assistance.

Phone: 800-470-9630
e-solutions.support@anthem.com
Monday-Friday, 8 a.m. - 4:30 p.m. Local Time