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Information for California
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Electronic Data Interchange


EDI COMPANION GUIDE

The companion guide provides supplemental instructions for EDI transmissions
specific to Anthem.  All new submitters will use the Availity EDI Gateway for
their Anthem EDI transactions.


SECTION A: EDI USER GUIDE



For employer groups: 834 User Guide

For all other transactions: User Guide

Communication protocol: HTTPS File Upload


SECTION B: TRANSACTION-SPECIFIC DOCUMENTS



Health Care Claim: 837I | 837I (Encounters) | 837I (Outbound for Managed Care
Services) | 837P | 837P (Encounters) | 837P (Outbound for Managed Care Services)
| 837P (EAP) | 837D | 837D (Price and Ship)

Health Care Claim Payment/Advice: 835 | 835D | 835 (Inbound for Managed Care
Services)

Benefit Enrollment and Maintenance: 834 | 834 (Compass Life & Disability)

Payroll Deducted & Other Group Premium Payment for Insurance Products: 820

Prior Authorization: 278

Claim Status: 276/277 (Batch) | 276/277 (Real-time)

Eligibility: 270/271 (Batch) | 270/271 (Real-time)

Medical Attachments: 275

Inpatient Admission and Discharge Notification: 278N

Review Notification & Acknowledgement - Referrals: 278N


AVAILITY COMPANION GUIDE

In addition to our companion documents listed above, Availity also offers a
companion guide to communicate Availity-specific requirements and other
supplemental information.
 
Access Availity's Companion Guide
Ready to become a provider in the Anthem network?

We look forward to working with you to provide quality service for our members.

Payments for services from a non-participating provider are generally sent to
the member, except where federal or state mandates apply, or negotiated
agreements are in place.

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