Electronic Data Interchange (EDI)

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To help ensure continuity of service for your Anthem EDI transmissions, we recommend you transition to the Availity EDI Gateway now. It is mandatory due to the upcoming retirement of the Anthem EDI Gateway.  
If you have any questions please contact Availity Client Services at 1-800-Availity (1-800-282-4548) Monday through Friday 8:00 a.m. to 7:30 p.m. Eastern Time  
 
Who is Availity?  
Availity is well known as a web portal and claims clearinghouse, but they are much more. Availity also functions as an EDI Gateway for multiple payers, and will be the single EDI connection for all Anthem Inc. 
Your organization can submit and receive the following transactions through Availity’s EDI Gateway.  

837- Institutional Claims

837- Professional Claims

837- Dental Claims

835- Electronic Remittance Advice

276/277- Claim Status

270/271- Eligibility Request

278 – Authorization/Referral

 
This EDI gateway migration does not impact participation status with Anthem and will not impact on how Anthem adjudicates claims. 
 
Get Started With Availity  
If you wish to submit direct and become a trading partner with Availity, the setup is easy. Use the Welcome Application link below to begin the process of connecting to the Availity EDI Gateway for your Anthem EDI transmissions.
If you’re a provider and wish to use a Clearinghouse or Billing company please work with them to ensure connectivity.
 
 
Need Assistance?  
The quick start guide will assist you with any EDI connection question’s you might encounter.
 
 
835 Electronic Remittance Advice (ERA)  
Effective June 1st 2018 please use Availity to register and manage account changes for ERA.
If you were previously registered to receive ERA, you must register using Availity to manage account changes.
Manage suppression (turn off) paper remittance vouchers are available here.
 
Electronic Funds Transfer (EFT)  
To register or manage account changes for EFT only, use the EnrollHub™, a CAQH Solutions™ enrollment tool, a secure electronic EFT registration platform. This tool eliminates the need for paper registration, reduces administrative time and costs, and allows you to register with multiple payers at one time.
If you were previously registered to receive EFT only, you must register using EnrollHub to manage account changes. No other action is needed.
 
Payer Codes for Availity EDI Gateway  
 
 
Anthem EDI Service Desk Contact Information  
Phone: (800) 470-9630  
Hours: 8:00 - 4:30 M-F Local Time  
 
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