Electronic data interchange (EDI)
System status:
EDI
ONLINE
SPOT
ONLINE
- Companion and connectivity guides - View tips for electronic transactions such as: SFTP, ASC X12N 999, 276/277,835, 837s, and more.
- Self-service tool help guides:
- Administrative Simplification Compliance Act (ASCA) enforcement
- Electronic Data Interchange (EDI) webpage on CMS.gov - find information on EDI transaction and corresponding paper claims requirements.
- HIPAA eligibility transaction system (HETS) help (270/271) - The HETS is intended to allow the release of eligibility data to Medicare providers, suppliers, or their authorized billing agents for the purpose of preparing an accurate Medicare claim, determining beneficiary liability or determining eligibility for specific services.
- Health information privacy - Link to the Department of Health and Human Services' (DHHS) office for HIPAA privacy rule, which protects the privacy of individually identifiable health information.
Need to reach out? Click the button below to view EDI's contact information or email us for general EDI assistance. Representatives are available Monday-Friday 8 a.m.- 5 p.m. ET (excluding holiday closings and training dates).