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Learn moreElectronic Connectivity (EDI)
EDI Documentation for Professional Providers: Manuals and Communications
Below are documents to assist you in electronically submitting your professional health care data.
- EDI User Guide (PDF)
- Front End Edit Codes and Descriptions for Professional, Facility and Dental (PDF)
- SFTP Instructions (PDF)
- ANSI ASC X12N 270/271 Companion Document — Health Care Eligibility Benefit Inquiry and Response (PDF)
- ANSI ASC X12N Unsolicited 277 Companion Document (PDF) — Health Care Claim Status Response transaction, used to return front end reject edit information to submitters.
- ANSI ASC X12N 278 Health Care Services Request for Review and Response Companion Document (PDF)
- ANSI ASC X12N 276/277 Health Care Claim Status Request and Response Companion Document (PDF)
- ANSI ASC X12N 837 & 835 Professional Health Care Claim & Health Care Claim Payment/Advice Companion Document (PDF)
- EDI Professional Commercial Payer Listing (PDF)
- WPS Input Sheet for ERA Providers (PDF)
- BCBSM EDI Preferred Software Developers, Service Bureaus and Clearinghouses (PDF)
Please refer to the Washington Publishing Company's ANSI ASC X12N Implementation Guides and Addenda for more information.
