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EDI Companion Guide

The companion guide provides supplemental instructions for EDI transmissions specific to Anthem. All new submitters will use the Availity EDI Gateway for their Anthem EDI transactions.

Section A: EDI User Guide

For employer groups: 834 User Guide

For all other transactions: Availity EDI Connection Guide

Section B: Transaction-specific Documents

Health Care Claim: 837I | 837I (Encounters) | 837P | 837P (Encounters) | 837D

Health Care Claim Payment/Advice: 835

Benefit Enrollment and Maintenance: 834 | 834 (Compass Life & Disability)

Payroll Deducted & Other Group Premium Payment for Insurance Products: 820

Prior Authorization: 278

Claim Status: 276/277 (Batch) | 276/277 (Real-time)

Eligibility: 270/271 (Batch) | 270/271 (Real-time)

Medical Attachments: 275

Inpatient Admission and Discharge Notification: 278N

Review Notification & Acknowledgement - Referrals: 278N

Review Notification & Acknowledgement - UM Decisions: 278N

Availity Companion Guide

In addition to our companion documents listed above, Availity also offers a companion guide to communicate Availity-specific requirements and other supplemental information.