What is EDI?
Electronic Data Interchange, or EDI, is the computer-to-computer exchange of business documents in a standardized format. EDI eliminates the need to print and mail paper business documents. Health care providers and payers exchange EDI transactions such as health care claims, claim status, remittance advice statements and reports associated with the transmission of electronic files.
- Administrative Simplification Compliance Act (ASCA) Frequently Asked Questions
- Are You Using The Latest Cahaba GBA EDI Application?
- Payer ID Editing
Benefits of EDI
Some of the advantages of electronic filing are:
- Elimination of paper documents
- Save time and money eliminating postage
- EDI editing eliminates many claim errors that delay payment
- Audit reports confirm the receipt of your electronic file
- Claims submitted electronically are paid faster (14 days)
Who should use EDI?
Effective October 16, 2003, providers are required to submit their claims electronically to Medicare, with some exceptions. However, all providers, with small or large claims volumes, can successfully submit claims electronically.
How do I get started?
Click on the links on this page for more information about EDI, lists of approved software vendors, clearing houses, and billing services, and the forms you will need to complete in order for your office to be set up for EDI.
- Clarification of Medicare Secondary Payer (MSP) Billing
- Cut-off Time for Electronic Claims Processing
- CMS Medicare Easy Print
- Electronic Response Files ('Audit trails')
- FAQs
- File Naming Conventions
- Filing Medicare Secondary Claims Electronically
- Forms
- Free billing and remittance software
- Free software and downloads
- HIPAA
- PC-ACE Entering NPIs
- "Suppression of Standard Paper Remittance Advice (SPR) to Providers and Suppliers Also Receiving Electronic Remittance Advice (ERA) for 45 Days or More"
- Testing procedures
- User documentation
- Vendor lists
Page last updated: July 16, 2007
