Health Plan EDI

EDI Communication With Trading Partners

EDI is the electronic transfer of information, such as claims, remittance advice, eligibility inquiry and claim status inquiry, in a standard format between trading partners. EDI allows entities within the healthcare system to exchange medical, billing and other information and to process transactions in a fast and cost-effective manner. With EDI, there is a substantial reduction in handling and processing time compared to paper, and the risk of lost paper documents is eliminated.

EDI saves time, reduces cost and improves accuracy. Medical Associates Health Plan provides EDI transactions processing for providers.

MAHP/HC currently uses Change HealthCare as the exclusive clearinghouse for managing EDI connections. Before submitting or receiving EDI transactions, registration as a Trading Partner with Change HealthCare is required. To register, a provider should complete the Enrollment Application and Trading Partner Agreements.

To learn more about EDI and become a certified EDI Professional, please visit our course schedule page.

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