For Providers: How to File Claims Electronically
Electronic Data Interchange Services
Electronic Data Interchange (EDI) is the computer-to-computer transfer of transactions and
information. We encourage providers to submit claims electronically for improved productivity
and efficiency.
The electronic Payor ID number for the UniCare State Indemnity Plan is 80314.
Providers who would like to file claims electronically should contact their practice management
system vendor to determine if the vendor submits to one of UniCare's EDI trading partners.
(Your practice management system vendor is your day-to-day contact for computer system hardware
and software that you currently use to transmit claims electronically.)
Clearinghouse Vendors for Electronic Claims
For a list of clearinghouse vendors that UniCare contracts with, click on the links below:
Electronic Transaction Manuals for UniCare Claims
The following companion documents to X12N Implementation Guides, adopted under HIPAA, clarify and
specify the data content requirements when exchanging electronically with UniCare.
You will find these documents on UniCare's EDI web page for providers (scroll down to "Documents").
Code Sets
Providers are required to bill with valid code sets. Please reference these sites for the
most recent code set information:
These are third-party sites operated by independent entities over which UniCare
has no control or right to control. UniCare makes no representations or warranties
regarding the accuracy or validity of the information provided at these sites. You agree
to these terms and conditions when you exit this site and link to the other site.
For more information about UniCare electronic claims, contact us toll free at 877-210-4083, or
email us at ediunicare@wellpoint.com.
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