Get the free Anthem EDI Registration Form

This appendix contains the Anthem EDI Trading Partner Registration Form for initiating electronic transaction submission with Anthem. It includes sections for trading partner information, vendor details,

How to fill out anformm edi registration form

How to fill out Anthem EDI Registration Form

1. Download the Anthem EDI Registration Form from the Anthem website.
2. Fill in your organization’s name and contact information.
3. Provide your National Provider Identifier (NPI) number.
4. Complete the requested information about your practice or business.
5. Select the appropriate type of EDI claim (e.g., professional, institutional).
6. Include your billing information and any additional required details.
7. Review the form for accuracy and completeness.
8. Sign and date the form at the designated area.
9. Submit the completed form via fax or email as instructed in the submission guidelines.

Who needs Anthem EDI Registration Form?

1. Healthcare providers who wish to submit claims electronically to Anthem.
2. Medical practices transitioning from paper claims to electronic claims.
3. Any organization that needs to interact with Anthem's EDI services for billing and claims processing.

People Also Ask about

What is EDI electronic claim payer?

The Payer ID or EDI is a unique ID assigned to each insurance company. It allows provider and payer systems to talk to one another to verify eligibility, benefits and submit claims.

What is the EDI payer ID for Anthem Blue Cross?

Payer Name and ID Your payer name is Anthem BC California and the payer ID is 47198 (If you use a billing company or clearinghouse for your EDI transmissions, please work with them on which payer ID they want you to use.)

How do you activate your HSA?

Your HSA is not considered activated until money is contributed to it. There are a few ways you can contribute to your account to activate it. If your employer contributes to your HSA, your HSA will be activated. You can also activate the HSA by making a deposit.

How do I activate my HSA on Anthem?

Activating your HSA 1. From the Account Summary page click the “Activate Your HSA” link at the bottom of the page. 2. Review and/or update your personal information.

What is an EDI enrollment form?

Electronic Data Interchange (EDI) is an innovative digital communication tool that is used to deliver data from a provider to a payer. In order to be eligible to submit electronic claims to an insurance company, providers must complete EDI enrollment.

How do I activate my HSA account on Anthem?

Activating your HSA From the Account Summary page click the “Activate Your HSA” link at the bottom of the page. 2. Review and/or update your personal information.

For pdfFiller’s FAQs

What is Anthem EDI Registration Form?

The Anthem EDI Registration Form is a document used by healthcare providers to enroll in Electronic Data Interchange (EDI) with Anthem, allowing for electronic submission of claims and other transactions.

Who is required to file Anthem EDI Registration Form?

Healthcare providers, such as physicians, hospitals, and other entities, that wish to submit claims electronically to Anthem are required to file the Anthem EDI Registration Form.

How to fill out Anthem EDI Registration Form?

To fill out the Anthem EDI Registration Form, providers should complete the required fields with their business information, including their NPI number, tax identification information, and contact details before submitting it as per Anthem’s instructions.

What is the purpose of Anthem EDI Registration Form?

The purpose of the Anthem EDI Registration Form is to facilitate the electronic exchange of healthcare data between providers and Anthem, streamlining the claims process and improving efficiency.

What information must be reported on Anthem EDI Registration Form?

The information required on the Anthem EDI Registration Form includes the provider's name, NPI number, tax ID, contact information, and details regarding the type of transactions they wish to conduct electronically.