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Electronic Data Interchange (EDI) Services

Electronic Data Interchange (EDI) is the computer-to-computer transfer of transactions and information. We encourage you to submit your claims electronically for improved productivity and cost efficiency. 
 
Hospital, Professional and Dental Electronic Claims 
UniCare provides EDI support and consultation, and also contracts for electronic claims submission through the following clearinghouses/vendors: 
 
Approved Vendors Click Here! 
Or 
Submit HIPAA Compliant Claims today!  
Secure Access to EDI Web Transactions  
 
All vendors are independent entities not affiliated with UNICARE or any of its affiliates, subsidiaries or parent corporation. 
 
UniCare ERA/EFT 
Electronic Remittance Advice (ERA) is available for Unicare commercial business. Remittance advices are received electronically directly via our Connect enterprise dial-up mailbox or through an approved clearinghouse. UniCare ERA's are produced in an ANSI X12 835 version 4010A1 file format. Through Electronic Funds Transfer (EFT), UniCare commercial claims payments are deposited directly into your bank account electronically. 
 
EDI User Guide 
 
Documents 
 
EDI Communications 
5010  
 
Latest News  
 
Appendices 
 
Code Sets 
Providers are required to bill with valid code sets. Please reference these sites for the most recent code set information: 
CMS/HHS
AMA
 
Implementation Guides 
 
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 upon your exiting this site and linking to the other site. 

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