EDI Files Submission

EDI Files Submission Process At Security Health Plan

EDI Files Submission is possible if your software creates the HIPAA 837 format for electronic claims. Then Security Health Plan can accept your claims directly. If EDI Files Submission is not available at your company, Security Health Plan cannot accept your claims directly – you will need to obtain 837 software.

Security Health Plan does not provide or assist with EDI Files Submission software. You can you contact any clearinghouse for assistance.

Providers interested in EDI Files Submission (claim transactions) directly to Security Health Plan should visit the Security Health Plan Web site at www.securityhealth.org and click on the Providers link, then Forms Library. Choose the 837/835 Enrollment Request form and mail or fax to the address noted on the form. Upon setup completion, the submitter will be notified of the username and password.

File naming standards

  • 6-character name plus a 3-character extension complying with the following standards:
    • first character is D
    • second through sixth characters are your submitter ID
    • 3-character extension will be
      tst = if this is a test file
      dat = if the data is not compressed, production file
      zip = if the data is compressed (with PKZIP or compatible compression), production file.

 

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