Electronic data interchange (EDI)
Effective December 1, 2018, the Availity Portal will serve as your EDI partner for all electronic data and transactions. Most of you know Availity as a web portal or claims clearinghouse, but Availity is also an intelligent EDI gateway for multiple payers and will be the single EDI connection for Simply Healthcare Plans, Inc. (Simply).
Your organization can submit and receive the following transactions through Availity’s EDI Gateway:
- Institutional claims — 837
- Professional claims — 837
- Dental claims — 837
- Electronic remittance advice — 835
- Claim status — 276/277
- Eligibility request — 270/271
Get set up with Availity
The Availity setup is easy. Use the link below and get the directions and information you need to start sending claims to the Availity EDI Gateway:
Payer ID for EDI transmissions to Availity
- Clear Health Alliance – CHA
Electronic funds transfer (EFT) registration
To register or manage account changes for EFT only, use the use the EnrollHub™, a CAQH Solutions™ enrollment tool, a secure electronic EFT registration platform. This tool eliminates the need for paper registration, reduces administrative time and costs, and allows you to register with multiple payers at one time. If you were previously registered to receive EFT only, you must register using EnrollHub to manage account changes. No other action is needed.
Electronic remittance advice (ERA) registration
Please use Availity to register and manage account changes for ERA. Manager suppression (turn off) paper remittance vouchers are available at this link: Provider Paper Suppression Form.
Contacting Availity
Please contact Availity Client Services with any questions at 1-800-AVAILITY (1-800-282-4548) Monday to Friday, 8 a.m. to 7:30 p.m. ET.