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Electronic data interchange in healthcare is a secure way of transmitting data between healthcare institutions, insurers, and patients using established message formats and standards. The introduction of EDI dates back to the 1960s when there were more than 400 different standards in use.
Our Electronic Data Interchange (EDI) transaction and corresponding paper claims requirements; Links to those Chapters of the Medicare Claims Processing Manual (pub.
Effective August 1, 2020 we updated the corrected claims timely filing guidelines for Empire BlueCross BlueShield HealthPlus to follow the standard of 60 days from the date of payment for participating and nonparticipating providers.
In general, there are two basic types of EDI transmission: Point-to-point or direct connections: Two computers or systems connect with no intermediary over the internet, generally with secure protocols. Value-added network (VAN): A third-party network manages data transmission, generally with a mail boxing paradigm.
Payer Name and ID Your payer name is Anthem BC California and the payer ID is 47198 (If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which payer ID they want you to use.)

People also ask

As of November 1, 2021 all claims must be submitted to Blue Cross Blue Shield within 365 days from the date of service. Claims that are submitted after 365 days will be denied.
Log in to and click the Claims tab. If your claim isn't there or you still have questions, click Customer Support and choose how you'd prefer to contact us. Or call the Member Services number on your member ID Card.
Plan Summary The Empire Blue Cross PPO provides worldwide coverage for hospitalization and surgical, medical, vision and prescription drug expenses.
The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims. The payer ID is generally five (5) characters but it may be longer.
A: EDI, also known as electronic data interchange, is exchange of business information in a standard and structured format. An example of EDI is when a buyer sends an order to a supplier, that order is known as an EDI 850.

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