A lot is changing. New name, new blog!

Learn More

Blue Choice

South Carolina Healthy Connections

Electronic Data Interchange (EDI)

The Health Insurance Portability and Accountability Act (HIPAA) is the federal regulation that requires the use of standard X12 transactions to report and inquire about health care services. If you use electronic transactions, you had to implement HIPAA 5010 by Jan. 1, 2012. After Jan. 1, 2012, version 4010A1 is no longer valid.

HIPAA 5010

    EDI Registration

    BlueChoice HealthPlan Medicaid has transitioned into a strategic relationship with Availity to serve as our electronic data interchange (EDI) partner for all electronic data and transactions.

    Availity is an independent company that administers the secure provider portal on behalf of BlueChoice HealthPlan. Effective immediately, providers, billing services and clearinghouses who are new to the EDI can register to exchange 27x self-service and 837 claims electronic transactions at https://www.availity.com.*

    EFT Registration

    To register or manage account changes for electronic funds transfers (EFT) only, use the EnrollHub, a CAQH Solution enrollment tool,* which is 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.

    ERA Registration

    As of June 1, 2018, please now use Availity (https://www.availity.com)* to register and manage account changes for electronic remittance advices (835). If you were previously registered to receive the 835, you must register using Availity to manage account changes. No other action is needed. Manage suppression (turn-off) paper remittance vouchers here.*
    Refer to this quick guide if you need help registering with Availity.*

    Documents 

    Contact Information

    The EDI Solutions Help Desk is available Mondays - Fridays from 8 a.m. to 4:30 p.m. EST. 

    Phone: 1-800-470-9630

    Email: E-Solutions.support@wellpoint.com

    News and Bulletins  

    Find out more about Electronic Data Interchange.

    * Links on this page lead to third-party sites. Those companies are solely responsible for the
    content and privacy policies on their site.