EDI Forms & Guides

Electronic Data Interchange Services is your electronic way to submit information.

IBC has provided you with following links of guides and samples in order to enable you to use your EDI application with more ease and efficiency.

Claims Preprocessing Edits Claims Resolution

5010

• Claims Preprocessing Edits Claims Resolution Document (10/2012)

HIPAA Transaction Companion Guides*

5010

• Remittance Advice (835)
• Claim - Institutional (837-I)
• Claim - Professional (837-P)
• Incoming Transaction Envelope
• Outgoing Transaction Envelope

Trading Partner Specification

5010

• U277 Trading Partner Specification (Claim Status Notification)

Sample Transactions (file formats & data elements)

5010

• Sample Transaction (834)
• Remittance (835)
• Claim - Institutional (837)
• Claim - Professional (837)
• Claim Acknowledgement (999)
• Unsolicited Claim Status (U277)

4010 Guides and Samples

• Archive

Payer ID List

The payer ID codes are to be used when electronically submitting claims to IBC. Note: You may also have separate clearinghouse-specific payer ID codes to use when billing from your office to your clearinghouse vendor.

• Professional Payer ID and Provider Number Reference
• Facility Payer ID and Provider Number Reference

Update on Regulations

• Centers for Medicare and Medicaid Services (CMS)
• BlueWeb
• Partners in Health Update
• Provider Bulletins
• Privacy Information (HIPAA)

For more information or assistance, please contact the EDI team or call the EDI Business Help Desk at 215-241-2305.

* Companion guides are under construction and subject to change post implementation.

Important information about links to other sites