Clearinghouse Submissions
Various healthcare transactions can be submitted electronically to our Clearinghouse. We do not charge a fee for electronic transactions. However, the Trading Partner is responsible for its own expenses incurred through sending and/or receiving electronic communications. Providers can submit transactions directly to us or indirectly through a third-party clearinghouse.
- Indirect Submission
Your transactions will be sent to us on your behalf by a clearinghouse.
To Enroll: Contact the third-party clearinghouse.
For More Information: To send us claim transactions, download the appropriate Business Rule Guides.
- Direct Submission
Your transactions will be sent from your location directly to our Clearinghouse via your medical practice software.
To Enroll: Complete two original copies of the Electronic Trading Partner Agreement [PDF] and review the EDI Enrollment Instructions [PDF] for submission requirements.
For More Information: Review the following guides (where appropriate) for further clearinghouse rules and requirements for claims processing and submissions:
Tools for Existing Direct Trading Partners
