Electronic Data Interchange (EDI) Services
Our EDI Services enable you to submit claims electronically and view HIPAA Companion Guides.
Submit Claims
- increase accuracy of claims processing
- reduce payer rejections and increase speed of claims payment
View HIPAA Companion Guides
4010
Health Care Eligibility – Benefit Inquiry and Response (270/271 - 004010X092A1)
Health Care Claim Status Request and Response (276/277 004010X093A1)
Health Care Remittance Advice (835 - 004010X091A1)
Health Care Claim – Institutional (837I - 004010X096A1)
Health Care Claim – Professional (837P - 004010X098A1)
5010
Health Care Eligibility – Benefit Inquiry and Response (270/271 - 005010X279A1)
Health Care Claim Payment Advice (835 - 005010X221A1)
Health Care Claim – Institutional (837I - 005010X223A2)
Health Care Claim – Professional (837P - 005010X222A1)
Technical Requirements
Practice management systems include EDI interfaces, providing a mechanism for submitting claims electronically to Independence Administrators. Here is the information you’ll need to submit claims to Independence Administrators electronically:
| Payer ID for Electronic Claims Submission: | ISA08 = 54704 |
| GS03 = TA720 or 54763 |
Contact Information
Provider Inquiries
Reach provider services, care management, and clinical pharmacy services.



