About Electronic Data Interchange (EDI)

Electronic Data Interchange (EDI) is the process of transmitting Medicare Part B claims by electronic means. Healthcare providers and suppliers apply to NHIC Corp. EDI, to receive a submitter ID number and a password. Once enrolled in EDI, providers can bill directly to Medicare, using their own billing software, or allow a billing agency, clearinghouse, or vendor to send electronic claims on their behalf.

Benefits of EDI

• Improved cash flow – claims settle up to 50% faster
• 24-Hour claim transmission – send claims to Medicare 24 hours a day, 7 days a week
• Transmission security – a submitter ID and password are required to send claims
• Electronic Remittance Advice (ERA) option – no paper EOMBs to misplace or store
• Improved claim control –  find and correct errors for immediate resubmission
• Reduced office costs – save time and storage space
• ANSI X12 4010A1 standardized industry format – Centers for Medicare and Medicaid (CMS), mandated standard for EDI transmission 

The Part B California EDI Section of this website includes:

• EDI Enrollment Forms: New EDI Enrollment Forms, Forms for Adding a Submitter ID #, ERA Forms, EFT Information
• EDI Guides & Links: Electronic billing guides and manuals, free software information, California information and links
• EDI Basics: Getting started with EDI, What you need - hardware, software, and free Medicare-only billing software
• EDI News: The latest news affecting California Providers, Submitters, and Vendors
• FAQs: Find answers to your EDI questions

Support Staff

EDI Technical Support

Northern California (530) 896-7024

Southern California (213) 593-6950

The EDI Technical Support Staff can provide assistance on applying for EDI, adding/changing a submitter number, checking your application status, resetting passwords, applying for Electronic Funds Transfer (EFT), and helping with the general requirements for electronic claims billing (versus paper claims).

You can call us about the Carrier Assigned Bulletin Board System (CABBS), CABBS transmission reports, your Electronic Remittance Advice (ERA), and  other questions that  you may have about Electronic Data Interchange (EDI)

EDI Testing Coordinator

Northern California (530) 879-2663

Southern California (213) 593-6053

Contact the EDI Testing Coordinator for direction on sending your test claims via EDI, if you are testing a software upgrade, or changing from one software version to another.

EDI Enrollment Coordinator

Northern California (530) 896-7117

Southern California (213) 593-6052

Our Enrollment Coordinator can assist you with obtaining a new EDI submitter number, add another provider number to your existing EDI submitter number as well as help you to enroll in other EDI transactions including:

• Electronic Remittance Advice (ERA)
• Electronic eligibility inquiry
• Claim status inquiry

Have Questions About EDI? Need More Information?
(213) 593-6950 or (530) 896-7024

Monday – Friday 8 am – 4 pm (PT)

02/07/2008