Electronic Data Interchange (EDI) is the sending and receiving of information using computer technology. Any standard business document that one company would exchange with another, such as a purchase order, invoice, shipping schedule, inventory inquiry and claim submission, can be exchanged via EDI between the two parties, or trading partners.
Some of the benefits of using EDI or electronic claims processing include:
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If you are not submitting your own claims, please forward the guide to your clearinghouse or whoever else is responsible for your transactions.
We utilize Smart Data Solutions (SDS) as our clearinghouse. To take advantage of this service, contact your billing software vendor and request that your claims be submitted through SDS. All trading agreements come through them exclusively. You can also contact SDS directly at stream.support@sdata.us in order to set up a trading platform with us. If you do not have the appropriate equipment for electronic claims processing, contact SDS or your billing software vendor.
Be sure to include the following information: first name, last name, email, phone, organization name, organization NPI, organization Tax ID, and which payer claims will be submitted.
For questions, contact EDI@jeffersonhealthplans.com.
If you are a health care professional or are interested in becoming an electronic biller, email the EDI Support line at EDI@jeffersonhealthplans.com. Our EDI Analysts will be glad to contact you.
If you have a question about claims payment, please visit our Claims Payment page.