EDI Guidelines

Oklahoma Medicaid Management Information System EDI Guidelines

Electronic Data Interchange (EDI) is the most efficient method of submitting and receiving large amounts of information within the Oklahoma Medicaid Management Information System (OKMMIS). Some benefits of EDI include:

  • Improved accuracy.
  • Low operating costs.
  • Increased cash flow.
  • Shorter payment turnaround time.
  • Ability to check claims status electronically.
  • Increased accounts receivable timeliness and functionality. In addition, there is no charge to providers for EDI submission. EDI transactions are sent in envelope information structures as detailed below:

The first step to becoming an electronic claims submitter is to complete an EDI application form.

Providers may take advantage of the EDI process by using a billing agency, clearinghouse or VAN/third party vendor approved by the fiscal agent. Gainwell promotes the use of electronic claims submissions through EDI. The EDI team is available to provide direction, answer questions and assist providers or billing agents with the submission of electronic transactions.

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

Leave a Reply

Your email address will not be published.

Post Navigation