- Business Transformation
- Policies & Guidelines
Claims and Billing
- X12 Gateway Transition
- National Provider Identifier (NPI)
- Electronic Data Interchange (EDI) Services
- Claims Requirements and Communications
- Claims Submission Addresses
- Claims Requiring Submission of Clinical Information
- Chiropractic Billing Guide
- Clear Claim Connection and Significant Edits Disclosure Report
- Tools and Resources
- Pharmacy Information
- Resources for Patient Management
- Contact Us
Electronic Data Interchange (EDI)
Simplifying electronic claims submissions
Submitting claims may be one of the most common, time–consuming, and complex administrative tasks that your office staff performs. However, using an electronic method, EDI, can result in increased accuracy of claims, better tracking ability, and greater office efficiency and productivity.
In addition, you’ll also benefit from error reporting, which allows you to easily correct claims before submission. You will experience fewer payer rejections and administrative concerns, resulting in faster claim payments.
Submitting Claims Through EDI
When your office submits claims electronically for Independence Blue Cross (IBC), you must use the National Association of Insurance Commissioners (NAIC) code 54704 in the EDI header record to direct your files to IBC.
Product codes are also assigned by NAIC for each of our product lines. A list of professional and facility payer ID codes are available in the following documents:
Note: Clearinghouses may update their submission rules from time to time. Always contact your clearinghouse for confirmation of up–to–date, specific submission requirements.
If you are interested in submitting electronic claims and have existing practice management software, please contact your vendor as they will more than likely have an existing clearinghouse vendor that connects to our gateway. Refer to the document below for a list of clearinghouse vendors that have a connection or can connect directly to our gateway.