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Electronic Data Interchange (EDI) ServicesElectronic Claims SubmissionEDI Claims is now the best way to submit your claims electronically. EDI Claims Submission reduces payor rejections and administrative concerns, and increases the speed of claims payment by submitting HMO, PPO and POS claims electronically to us free of charge. To ensure maximum efficiency and productivity in your office and to increase the accuracy of claims processing, we encourage you to streamline the submission of your claims through an electronic method. Regardless of the method you use for delivery, electronic claims are tracked from the moment of submission through receipt by the health plan. Error reporting allows you to quickly and easily edit claims prior to submission eliminating duplicate claims submission and delays in claim payment. When submitting claims electronically, the National Association of Insurance Commissioners (NAIC) code must be used to identify lines of businesses. The following codes are assigned by NAIC for our product lines:
Technical RequirementsEDI Claims interfaces with the network provider's practice management system, providing a mechanism to submit electronic claims to Independence Blue Cross and other health plans. Even without a practice management system, network providers that have a PC and a modem or Internet access can submit claims electronically using EDI Direct Claims Entry (DCE) software. How to get EDI Claims for your officeFor more information, including how to get EDI Claims installed, call Electronic Claims Registration at 215-640-7410 or you may fill out an online inquiry form. |