Electronic Remittance Advice Transaction
An electronic RA is available by using the X12 835 transaction as mandated under HIPAA. The 835 transaction is available to all OHCA providers and contracted trading partners that have requested electronic RAs. The 835 is a financial transaction that functions as an electronic means of posting accounts receivable. The 835 Transaction is available from the Web or Remote Access Server (RAS) in a downloadable file. The 835 Transaction does not accommodate notification of a claim status of pending/suspended/under review. Oklahoma Medicaid will be providing a supplemental transaction that will provide claim status information on pended claims. This transaction is the 277pc Health Care Payer Unsolicited Claim Status.
To learn more about EDI and become a certified EDI Professional, please visit our course schedule page.