Electronic Data Interchange (EDI)
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EDI is the exchange of data electronically from one computer to another via telecommunication lines. It has been used for many years by health care providers for submission of health care claims and encounters, receipt of remittance notices, and acceptance and claim status reports.
EDI transactions are generally created by using a practice management software.EDI Services Available in the BCBSKS Service Area
(For descriptions of these services, see the EDI Glossary.)
- Health Care Claim Submission
- Electronic Remittance Notice
- Member Eligibility Verification
- Provider Submitted Claim Status
- Managed Care Referral Authorization
- Hospital Pre-certification
Benefits of EDI
Some of the advantages of electronic filing are:
- Eliminate paper claim forms
- Increase your office’s efficiency
- Save time and money
- EDI edits eliminate claim errors
- Response reports assure your claims were received
- Get claims paid faster