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Electronic Data Interchange (EDI)


Welcome to Blue Cross and Blue Shield of Georgia’s E-Solutions page  
Contact Information  
Phone: (800) 470-9630  
Hours: 8:00 – 4:30 ET M-F  
Electronic Data Interchange (EDI) is the computer-to-computer transfer of business-to-business document transactions and information between trading partners. Many healthcare partners, payors, vendors and fiscal intermediaries choose EDI as a fast, inexpensive, and safe method for automating the business processes that take place. 
Are there standards for exchanging information in healthcare EDI?  
The constituencies involved in health care, including healthcare partner organizations, payors, benefit plan sponsors, financial institutions and others have jointly developed and approved specific transaction sets, or standards, for use in sending and receiving healthcare information and transactions electronically. These EDI transaction sets and their associated approved American National Standards Institute (ANSI) ASC X12 transaction set numbers are listed below. 

Transaction Name 
ASC X12 Transaction 
Implementation Guide (IG) 
Washington Publishing Co. 
Health Claims and Equivalent Encounter Information 
Enrollment and Disenrollment in a Health Plan 
Eligibility Inquiry/Response for a Health Plan 
270/271 -real-time only 
Healthcare Remittance Advice (ERA) 
Health Plan Premium Payments 
Health Claim Status 
276/277 -real-time only 
Referral Certification and Authorization 
Coordination of Benefits 
Electronic Attachments  
What are the benefits derived from using these standards?  
Keeping health care affordable to the end consumer.
Improving accuracy of information exchanged between healthcare participants, improving the quality of healthcare delivery and its supporting processes.
Making enhanced information available to all healthcare participants as appropriate. This access ensures fast, reliable, accurate, secure and detailed information on patients and healthcare partner plans.
EDI Services is committed to delivering the value that EDI brings to all healthcare participants. 
For more information: 
EDI Latest News

Alerts, reminders, important EDI announcements 

EDI Communications

Vendor & Healthcare Partner Links and Publications

EDI Seminars

Schedule of Provider Outreach Seminars and Events

Free On-Line HIPAA Validation Testing

BCBSGa offers its direct EDI submitters an on-line tool called Validator to utilize for HIPAA transaction and code set testing. Contact your local E-Solutions to obtain your User ID and password, and click on link for Validator Testing Guidelines. Note: Validator is also available to software vendors that service BCBSGa EDI submitters.

Learn More about EDI Standards and Benefits

ASC X12 is the U.S. standards body for the cross-industry development, maintenance, and publication of electronic data exchange standards, based on, but not limited to X12 EDI, XML, and UN/EDIFACT formats. Washington Publishing Company is an active member of ASC X12 and publishes the output of X12's subcommittees.


Latest HIPAA News


Latest 5010 News 

Private Business - HIPAA Companion Guide

For non-Medicare Part A NEW and migrating trading partners using the Enterprise Gateway/Clearinghouse 

EDI Registration Form

This form can be used to register for any supported EDI transaction.

ERA (only) Online Registration

Providers or their third party billing agents (e.g. billing vendor or clearinghouse) will use these links to register and manage account changes for ERA only. EnrollHub must be used for providers seeking to enroll for EFT or ERA/EFT combined.

Providers and all other entities may use the link below. Providers who have previously registered for EFT using the EnrollHub process for EFT should add ERA to their profile using the EnrollHub process. Please do not submit duplicate requests using multiple form submission methods.

ERA registration E-Form

Manage suppression (turn off) of your paper remittance vouchers here.
Clearinghouses may opt to submit registration requests on behalf of their clients. If a clearinghouse wishes to provide this service to their clients, a user ID and password will be required. The clearinghouse should contact EDI for additional information on requirements and needed information. NOTE: Only registrations submitted by a clearinghouse with login credentials can be checked using the status tool.

Clearinghouse ERA registration

Clearinghouse ERA registration status

Combined Electronic Remittance Advice (ERA)/Electronic Funds Transfer (EFT) or EFT only registration

Providers seeking to register or manage account changes for EFT only, or EFT and ERA combined, will need to use EnrollHub™, a CAQH Solution™, which is a secure electronic ERA/EFT registration platform. This tool will help eliminate the need for paper registration and reduce administrative time and costs and allow you to register with multiple payers at one time. Paper is discontinued when Blue Cross and Blue Shield of Georgia EFT payments begin. Providers can sign up for Electronic Remittance Advice (ERA) or may be able to view images of the EOP on the provider portal.

Providers previously registered with us to receive combined ERA/EFT or EFT (only) will register with EnrollHub to manage account changes, but otherwise do not need to take action. Paper registration forms for combined ERA/EFT or EFT (only) are being discontinued and are no longer available.

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Blue Cross and Blue Shield of Georgia, Inc. and Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.